Healthcare Provider Details
I. General information
NPI: 1992031249
Provider Name (Legal Business Name): NAPLES CARDIAC & ENDOVASCULAR CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/21/2009
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1172 GOODLETTE-FRANK RD N STE 101
NAPLES FL
34102-5435
US
IV. Provider business mailing address
1172 GOODLETTE-FRANK RD N STE 101
NAPLES FL
34102-5435
US
V. Phone/Fax
- Phone: 239-300-0586
- Fax: 239-300-0588
- Phone: 239-300-0586
- Fax: 239-300-0588
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0011X |
| Taxonomy | Interventional Cardiology Physician |
| License Number | ME70724 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
JULIAN
J
JAVIER
Title or Position: PRESIDENT
Credential: MD
Phone: 239-300-0586