| Nichols Pediatric Center | |
|
5450 Ymca Rd Naples FL 34109-5944 | |
| (239) 658-3000 | |
| Not Available |
| Full Name | Nichols Pediatric Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5450 Ymca Rd, Naples, Florida |
| Authorized Official Name and Position | Sandra Steele (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2396583000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nichols Pediatric Center 1454 Madison Ave W Immokalee FL 34142-2200 Ph: (239) 658-3000 | Nichols Pediatric Center 5450 Ymca Rd Naples FL 34109-5944 Ph: (239) 658-3000 |
| NPI Number | 1689031049 |
|---|---|
| Provider Enumeration Date | 01/15/2016 |
| Last Update Date | 01/15/2016 |
| Medicare PECOS PAC ID | 4183521925 |
|---|---|
| Medicare Enrollment ID | O20160421000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689031049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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