Healthcare Provider Details

I. General information

NPI: 1053149310
Provider Name (Legal Business Name): INFINITY HEALTHCARE NORTH NAPLES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3467 PINE RIDGE RD STE 102
NAPLES FL
34109-3832
US

IV. Provider business mailing address

8890 W OAKLAND PARK BLVD STE 200
SUNRISE FL
33351-7221
US

V. Phone/Fax

Practice location:
  • Phone: 239-919-6024
  • Fax: 754-222-6417
Mailing address:
  • Phone: 954-741-3304
  • Fax: 754-222-6417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH DI CAPUA
Title or Position: CEO
Credential:
Phone: 561-843-7720