Healthcare Provider Details

I. General information

NPI: 1154256303
Provider Name (Legal Business Name): KINLI HEALTH, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9707 MOONFLOWER LN
NAPLES FL
34114-2985
US

IV. Provider business mailing address

9707 MOONFLOWER LN
NAPLES FL
34114-2985
US

V. Phone/Fax

Practice location:
  • Phone: 754-272-3332
  • Fax: 833-468-5283
Mailing address:
  • Phone: 754-272-3332
  • Fax: 833-468-5283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TERESA LUCIANA PINA
Title or Position: ADMINISTRATOR
Credential: MHA
Phone: 754-272-3332