MEDICARE: PSE OF NAPLES PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	ME87934	FL

General Provider Information

NPI Number	:	1649676180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSE OF NAPLES PLLC

Provider Business Mailing Address
First Line	:	77 8TH ST S
Second Line	:	SUITE B
City	:	NAPLES
State	:	FL
Zip	:	34102-6111
Country	:	US
Telephone Number	:	813-503-8793
Fax Number	:

Provider Business Practice Location Address
First Line	:	77 8TH ST S
Second Line	:	SUITE B
City	:	NAPLES
State	:	FL
Zip	:	34102-6111
Country	:	US
Telephone Number	:	813-503-8793
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BARRETT GINSBERG
Credential	:	MD
Telephone Number	:	813-503-8793

Provider Enumeration Date	:	11/11/2014
Last Update Date	:	04/29/2015

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Directions to “PSE OF NAPLES PLLC ” Practice Location

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