| Prime Md Of Naples | |
|
2515 Northbrooke Plaza Dr Ste 200 Naples FL 34119-8088 | |
| (949) 302-5644 | |
| Not Available |
| Full Name | Prime Md Of Naples |
|---|---|
| Speciality | Family Medicine |
| Location | 2515 Northbrooke Plaza Dr Ste 200, Naples, Florida |
| Authorized Official Name and Position | Cosmina Ileana Popa (PHYSICIAN) |
| Authorized Official Contact | 9493025644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Md Of Naples 4462 Kensington Cir Naples FL 34119-9066 Ph: (949) 302-5644 | Prime Md Of Naples 2515 Northbrooke Plaza Dr Ste 200 Naples FL 34119-8088 Ph: (949) 302-5644 |
| NPI Number | 1215547310 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 03/10/2023 |
| Medicare PECOS PAC ID | 2860812013 |
|---|---|
| Medicare Enrollment ID | O20201009000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215547310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Cosmina I Popa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093979924 PECOS PAC ID: 3274789433 Enrollment ID: I20180830000305 |
| Provider Name | Andre M Nye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912077538 PECOS PAC ID: 1658285622 Enrollment ID: I20181221000259 |
| Provider Name | Maylin Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659023224 PECOS PAC ID: 3678968880 Enrollment ID: I20220324000855 |
| Provider Name | Melanie Smalley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407415789 PECOS PAC ID: 6709110026 Enrollment ID: I20220711003064 |
| Provider Name | Cristina Sandu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114534856 PECOS PAC ID: 0840674438 Enrollment ID: I20220831000938 |
| Provider Name | Valentine R Tarrete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902521933 PECOS PAC ID: 1052789799 Enrollment ID: I20221130001117 |
| Provider Name | Heather R Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568233542 PECOS PAC ID: 2668825068 Enrollment ID: I20240205000473 |
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