Healthcare Provider Details

I. General information

NPI: 1265345045
Provider Name (Legal Business Name): DOCTOR2HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2099 CRESTVIEW WAY
NAPLES FL
34119-3307
US

IV. Provider business mailing address

2099 CRESTVIEW WAY
NAPLES FL
34119-3307
US

V. Phone/Fax

Practice location:
  • Phone: 239-304-6960
  • Fax: 239-260-5411
Mailing address:
  • Phone: 239-304-6960
  • Fax: 239-260-5411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: GREGORY N BAILEY
Title or Position: ADMINISRATOR/PHYSICIAN ASSISTANT
Credential: PA
Phone: 239-364-6291