Healthcare Provider Details

I. General information

NPI: 1215346523
Provider Name (Legal Business Name): NAPLES PHYSICIANS HOSPITAL ORGANIZATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2014
Last Update Date: 08/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 5TH AVE N STE 201 SUITE 201
NAPLES FL
34102-5582
US

IV. Provider business mailing address

851 5TH AVE N STE 201 SUITE 201
NAPLES FL
34102-5582
US

V. Phone/Fax

Practice location:
  • Phone: 217-714-5364
  • Fax:
Mailing address:
  • Phone: 217-714-5364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MS. SUSAN JARDONE
Title or Position: CHIEF OPERATING OFFICER
Credential: RN, BS, CRRN, CCM
Phone: 239-659-7701