Healthcare Provider Details

I. General information

NPI: 1831120195
Provider Name (Legal Business Name): NCHMD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 7TH ST. N
NAPLES FL
34102-5754
US

IV. Provider business mailing address

PO BOX 112019
NAPLES FL
34108-0134
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-6400
  • Fax: 239-624-0401
Mailing address:
  • Phone: 239-624-6400
  • Fax: 239-624-0401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number216325
License Number StateMA

VIII. Authorized Official

Name: MR. NOBLE ARRINGTON
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 239-624-6338