| Breezemed Urgent Care LLC | |
|
15044 Sandpiper Ln Unit 8 Naples FL 34114-8585 | |
| (239) 529-2142 | |
| (239) 230-2977 |
| Full Name | Breezemed Urgent Care LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 15044 Sandpiper Ln Unit 8, Naples, Florida |
| Authorized Official Name and Position | Jarrod Stewart Roberts (OWNER/ MEDICAL DIRECTOR) |
| Authorized Official Contact | 2395292142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breezemed Urgent Care LLC 15044 Sandpiper Ln Unit 8 Naples FL 34114-8585 Ph: (239) 529-2142 | Breezemed Urgent Care LLC 15044 Sandpiper Ln Unit 8 Naples FL 34114-8585 Ph: (239) 529-2142 |
| NPI Number | 1649937715 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 02/01/2023 |
| Certification Date | 05/25/2022 |
| Medicare PECOS PAC ID | 9335520790 |
|---|---|
| Medicare Enrollment ID | O20220928003751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649937715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | () | Primary |
| Provider Name | Anthony R Conti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215964291 PECOS PAC ID: 4789622895 Enrollment ID: I20170419001014 |
| Provider Name | Jarrod Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659466100 PECOS PAC ID: 7113093154 Enrollment ID: I20210727003573 |
| Provider Name | Annalee Knowles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114594223 PECOS PAC ID: 9931502978 Enrollment ID: I20210728001271 |
| Provider Name | Sergio Alberto Alvarez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689371908 PECOS PAC ID: 5698140879 Enrollment ID: I20230403000190 |
| Provider Name | Leann Wismer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598844987 PECOS PAC ID: 4183726797 Enrollment ID: I20230404001807 |
| Provider Name | Ronald S Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245250273 PECOS PAC ID: 2668578048 Enrollment ID: I20231130000642 |
| Provider Name | Amanda Vaturi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568143824 PECOS PAC ID: 1153862024 Enrollment ID: I20240918003421 |
| Provider Name | Gabrielle Hope Gevers Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962283200 PECOS PAC ID: 2163931205 Enrollment ID: I20250602000718 |
| Provider Name | Dailet Torres Castelvi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821959537 PECOS PAC ID: 0547754863 Enrollment ID: I20251212003285 |
| Provider Name | Brithney Jessica Lamour |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154299162 PECOS PAC ID: 6507337094 Enrollment ID: I20260605000623 |
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