Healthcare Provider Details
I. General information
NPI: 1821832148
Provider Name (Legal Business Name): APEX PAIN MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/21/2024
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
90 CYPRESS WAY E STE 60A
NAPLES FL
34110-9275
US
IV. Provider business mailing address
90 CYPRESS WAY E STE 60A
NAPLES FL
34110-9275
US
V. Phone/Fax
- Phone: 239-832-9000
- Fax:
- Phone: 239-832-9000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP3300X |
| Taxonomy | Pain Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PAIGE
SALAMONE
Title or Position: PHYSICIAN/OWNER
Credential: DO
Phone: 239-832-9000