Healthcare Provider Details

I. General information

NPI: 1033204409
Provider Name (Legal Business Name): EVERETT HAROLD ALSBROOK JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 11/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 2ND AVE N SUITE 201
NAPLES FL
34102-5753
US

IV. Provider business mailing address

601 2ND AVE N UNIT #201
NAPLES FL
34102-5558
US

V. Phone/Fax

Practice location:
  • Phone: 239-261-8007
  • Fax: 239-261-3275
Mailing address:
  • Phone: 239-261-8007
  • Fax: 239-261-3275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number37760
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number37760
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number37760
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: