Healthcare Provider Details

I. General information

NPI: 1962761221
Provider Name (Legal Business Name): NEAPOLITAN INPATIENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2012
Last Update Date: 05/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 PINE RIDGE RD
NAPLES FL
34119-3900
US

IV. Provider business mailing address

9132 STRADA PL SUITE 11105
NAPLES FL
34108-2942
US

V. Phone/Fax

Practice location:
  • Phone: 941-329-1308
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateFL

VIII. Authorized Official

Name: SUNIL PANDYA
Title or Position: OWNER/GENERAL PARTNER
Credential: M.D.
Phone: 941-329-1308