Healthcare Provider Details

I. General information

NPI: 1427974203
Provider Name (Legal Business Name): ADVANCED PROVIDER ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 PINE RIDGE RD
NAPLES FL
34119-3900
US

IV. Provider business mailing address

1416 HEMINGWAY PL
NAPLES FL
34103-3814
US

V. Phone/Fax

Practice location:
  • Phone: 336-712-5667
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK FRENKEL
Title or Position: PARTNER
Credential: MD
Phone: 336-712-5667