Healthcare Provider Details

I. General information

NPI: 1083136980
Provider Name (Legal Business Name): BRITTANY GATES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 IMMOKALEE RD STE 8
NAPLES FL
34110-1444
US

IV. Provider business mailing address

3000 IMMOKALEE RD STE 8
NAPLES FL
34110-1444
US

V. Phone/Fax

Practice location:
  • Phone: 239-593-5327
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: