Healthcare Provider Details

I. General information

NPI: 1760498083
Provider Name (Legal Business Name): NAPLES MEDICAL CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 COCOHATCHEE DR
NAPLES FL
34110-1191
US

IV. Provider business mailing address

PO BOX 111198
NAPLES FL
34108-0120
US

V. Phone/Fax

Practice location:
  • Phone: 239-593-0526
  • Fax: 239-593-0525
Mailing address:
  • Phone: 239-593-0526
  • Fax: 239-593-0525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberME74702
License Number StateFL

VIII. Authorized Official

Name: BERNARD V JASMIN
Title or Position: PRESIDENT
Credential: MD
Phone: 239-593-0526