Healthcare Provider Details

I. General information

NPI: 1710072640
Provider Name (Legal Business Name): LOUIS F. FOLEY, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 03/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 PIPER BLVD SUITE 202
NAPLES FL
34110-1433
US

IV. Provider business mailing address

2338 IMMOKALEE RD PMB 152
NAPLES FL
34110-1445
US

V. Phone/Fax

Practice location:
  • Phone: 239-566-7272
  • Fax: 239-566-2088
Mailing address:
  • Phone: 239-566-7272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number90426
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number79601
License Number StateFL

VIII. Authorized Official

Name: LOUIS F FOLEY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 239-566-7272