Healthcare Provider Details

I. General information

NPI: 1205891645
Provider Name (Legal Business Name): NAPLES INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6609 WILLOW PARK DR STE 100
NAPLES FL
34109-9015
US

IV. Provider business mailing address

6609 WILLOW PARK DR STE 100
NAPLES FL
34109-9015
US

V. Phone/Fax

Practice location:
  • Phone: 239-643-9977
  • Fax: 239-596-2743
Mailing address:
  • Phone: 239-643-9977
  • Fax: 239-643-3424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. A. SINAN GURSOY
Title or Position: PARTNER
Credential: M.D.
Phone: 239-643-9977