MEDICARE: ESSENCE OF HEALTH OF NAPLES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207N00000X	Dermatology Physician
2	207Q00000X	Family Medicine Physician
3	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1003644840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ESSENCE OF HEALTH OF NAPLES INC

Provider Business Mailing Address
First Line	:	2675 WINKLER AVE FL 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9342
Country	:	US
Telephone Number	:	239-877-8522
Fax Number	:

Provider Business Practice Location Address
First Line	:	5470 BRYSON CT
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-6000
Country	:	US
Telephone Number	:	239-877-8522
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ NP
Name	:	MRS. KIMBERLY DAIZ
Credential	:	NP
Telephone Number	:	239-877-8522

Provider Enumeration Date	:	07/23/2024
Last Update Date	:	11/02/2024

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