Healthcare Provider Details

I. General information

NPI: 1952072852
Provider Name (Legal Business Name): INSPIRE ONCOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2021
Last Update Date: 09/22/2021
Certification Date: 09/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15465 TAMIAMI TRL N
NAPLES FL
34110-6216
US

IV. Provider business mailing address

8625 COLLIER BLVD UNIT 102
NAPLES FL
34114-3636
US

V. Phone/Fax

Practice location:
  • Phone: 239-429-0200
  • Fax:
Mailing address:
  • Phone: 239-429-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES EDWIN BUNNELL
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 239-470-4048