Healthcare Provider Details

I. General information

NPI: 1053019547
Provider Name (Legal Business Name): NAPLES PATHOLOGY ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2023
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1285 CREEKSIDE BLVD E
NAPLES FL
34109-0590
US

IV. Provider business mailing address

PO BOX 166324
MIAMI FL
33116-6324
US

V. Phone/Fax

Practice location:
  • Phone: 239-260-6631
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL AARON OSTLER
Title or Position: PRESIDENT
Credential:
Phone: 239-263-1777