| Advance Medical Of Naples Llc | |
|
720 Goodlette Rd N Suite 300 Naples FL 34102-5656 | |
| (239) 566-7676 | |
| (239) 254-3105 |
| Full Name | Advance Medical Of Naples Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 720 Goodlette Rd N, Naples, Florida |
| Authorized Official Name and Position | Lori-ann Martell (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2392543104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Medical Of Naples Llc 720 Goodlette Rd N Suite 500 Naples FL 34102-5656 Ph: (239) 566-7676 | Advance Medical Of Naples Llc 720 Goodlette Rd N Suite 300 Naples FL 34102-5656 Ph: (239) 566-7676 |
| NPI Number | 1164704649 |
|---|---|
| Provider Enumeration Date | 09/12/2011 |
| Last Update Date | 10/09/2014 |
| Medicare PECOS PAC ID | 5890940225 |
|---|---|
| Medicare Enrollment ID | O20130308000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164704649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Florida) | Primary |
| Provider Name | Rachel L Pandit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831190628 PECOS PAC ID: 1153379144 Enrollment ID: I20050106000355 |
| Provider Name | Steven Mitnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356455273 PECOS PAC ID: 2264578988 Enrollment ID: I20110602000730 |
| Provider Name | Gregory Edward Leach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952307662 PECOS PAC ID: 5496791204 Enrollment ID: I20120213000542 |
| Provider Name | Theodore Crowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902802606 PECOS PAC ID: 2567620875 Enrollment ID: I20120215000878 |
| Provider Name | James John Teet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740576925 PECOS PAC ID: 8729204730 Enrollment ID: I20140729000828 |
| Provider Name | Deena Krishna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891139911 PECOS PAC ID: 1759690548 Enrollment ID: I20151019000223 |
| Provider Name | Cindy Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760728554 PECOS PAC ID: 1052620374 Enrollment ID: I20151027001255 |
| Provider Name | Tracy Ramsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164920021 PECOS PAC ID: 9638433105 Enrollment ID: I20180509000894 |
| Provider Name | Tammy Bagwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821577230 PECOS PAC ID: 8527397173 Enrollment ID: I20190909000478 |
| Provider Name | Holly L Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831824705 PECOS PAC ID: 3173988458 Enrollment ID: I20230421000661 |
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