Healthcare Provider Details

I. General information

NPI: 1750277406
Provider Name (Legal Business Name): CONTEMPORARY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 111TH AVE N STE 9
NAPLES FL
34108-1868
US

IV. Provider business mailing address

840 111TH AVE N STE 9
NAPLES FL
34108-1868
US

V. Phone/Fax

Practice location:
  • Phone: 203-321-5063
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TARIQUE PERERA
Title or Position: DIRECTOR
Credential:
Phone: 203-321-5063