| Healthcare Network Of Sw Fl | |
|
12655 Collier Blvd Naples FL 34116-4005 | |
| (239) 658-3000 | |
| Not Available |
| Full Name | Healthcare Network Of Sw Fl |
|---|---|
| Speciality | Clinic/Center |
| Location | 12655 Collier Blvd, Naples, Florida |
| Authorized Official Name and Position | Tami Raznoff (CFO) |
| Authorized Official Contact | 2399860136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare Network Of Sw Fl 1454 Madison Ave W Immokalee FL 34142-2200 Ph: (239) 658-3707 | Healthcare Network Of Sw Fl 12655 Collier Blvd Naples FL 34116-4005 Ph: (239) 658-3000 |
| NPI Number | 1679124010 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 11/10/2021 |
| Medicare PECOS PAC ID | 4183521925 |
|---|---|
| Medicare Enrollment ID | O20200309001778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679124010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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