Healthcare Provider Details

I. General information

NPI: 1821793597
Provider Name (Legal Business Name): MELIORA HEALTHCARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 05/13/2023
Certification Date: 05/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 GOODLETTE-FRANK RD N FL 2
NAPLES FL
34102-5644
US

IV. Provider business mailing address

708 GOODLETTE-FRANK RD N STE 200
NAPLES FL
34102-5644
US

V. Phone/Fax

Practice location:
  • Phone: 239-291-7005
  • Fax: 239-241-6284
Mailing address:
  • Phone: 239-291-7005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: VISHAL PATEL
Title or Position: OWNER
Credential: DO
Phone: 239-291-7005