Healthcare Provider Details

I. General information

NPI: 1669079323
Provider Name (Legal Business Name): HEMO MEDIKA CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 10/06/2020
Certification Date: 10/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 10TH ST N STE 1
NAPLES FL
34103-3866
US

IV. Provider business mailing address

3425 10TH ST N STE 1
NAPLES FL
34103-3866
US

V. Phone/Fax

Practice location:
  • Phone: 239-778-5582
  • Fax: 239-320-3232
Mailing address:
  • Phone: 239-778-5582
  • Fax: 239-320-3232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MISS MIRIAM LESKANICOVA
Title or Position: CEO
Credential: MBA
Phone: 239-778-5582