Healthcare Provider Details

I. General information

NPI: 1336774280
Provider Name (Legal Business Name): RICARDO GELPI APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2020
Last Update Date: 03/10/2020
Certification Date: 03/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1168 GOODLETTE RD N
NAPLES FL
34102-5451
US

IV. Provider business mailing address

1997 ROOKERY BAY DR APT 906
NAPLES FL
34114-9317
US

V. Phone/Fax

Practice location:
  • Phone: 239-300-0586
  • Fax:
Mailing address:
  • Phone: 239-231-6445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11006433
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: