Healthcare Provider Details
I. General information
NPI: 1053525311
Provider Name (Legal Business Name): NAPLES OBSTETRICS AND GYNECOLOGY LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/09/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11181 HEALTH PARK BLVD SUITE 1000
NAPLES FL
34110-5738
US
IV. Provider business mailing address
11181 HEALTH PARK BLVD SUITE 1000
NAPLES FL
34110-5738
US
V. Phone/Fax
- Phone: 239-566-3000
- Fax: 239-254-8287
- Phone: 239-566-3000
- Fax: 239-254-8287
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
STEPHEN
W
THOMPSON
Title or Position: PHYSICIAN
Credential: MD
Phone: 239-566-3000