Healthcare Provider Details

I. General information

NPI: 1558735522
Provider Name (Legal Business Name): THE DOC NOW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2015
Last Update Date: 11/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2355 VANDERBILT BEACH RD SUITE 146
NAPLES FL
34109-2766
US

IV. Provider business mailing address

6900 DANIELS PKWY SUITE 29-292
FORT MYERS FL
33912-7513
US

V. Phone/Fax

Practice location:
  • Phone: 888-522-8339
  • Fax:
Mailing address:
  • Phone: 888-522-8339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: DR. TIMOTHY MATTHEW EVERETT
Title or Position: PRINCIPAL
Credential: M.D.
Phone: 239-322-0066