Healthcare Provider Details
I. General information
NPI: 1376408849
Provider Name (Legal Business Name): NAPLES BLUE PRIMARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1855 VETERANS PARK DR STE 203
NAPLES FL
34109-0446
US
IV. Provider business mailing address
1855 VETERANS PARK DR STE 203
NAPLES FL
34109-0446
US
V. Phone/Fax
- Phone: 239-325-8673
- Fax:
- Phone: 239-325-8673
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LINDITA
R
HOBDARI
Title or Position: OWNER/MANAGING PHYSICIAN
Credential: MD
Phone: 239-325-8673