Healthcare Provider Details

I. General information

NPI: 1730376708
Provider Name (Legal Business Name): NAPLES HEART RHYTHM SPECIALISTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2007
Last Update Date: 06/30/2022
Certification Date: 06/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6376 PINE RIDGE RD UNIT 180
NAPLES FL
34119-3926
US

IV. Provider business mailing address

6376 PINE RIDGE RD UNIT 180
NAPLES FL
34119-3926
US

V. Phone/Fax

Practice location:
  • Phone: 239-263-0849
  • Fax: 239-263-2376
Mailing address:
  • Phone: 239-263-0849
  • Fax: 239-263-2376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. KENNETH W PLUNKITT
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 239-263-0849