Healthcare Provider Details

I. General information

NPI: 1629237169
Provider Name (Legal Business Name): JOHN DANIEL NAPLES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 06/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4320 LIVE OAK BLVD
PALM HARBOR FL
34685-4021
US

IV. Provider business mailing address

4320 LIVE OAK BLVD
PALM HARBOR FL
34685-4021
US

V. Phone/Fax

Practice location:
  • Phone: 727-692-3377
  • Fax:
Mailing address:
  • Phone: 727-692-3377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number084385
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: