| Renewal Geriatric Primary Care Pa | |
|
5630 Elbow Ave Naples FL 34113-8395 | |
| (239) 206-0115 | |
| (239) 307-2455 |
| Full Name | Renewal Geriatric Primary Care Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5630 Elbow Ave, Naples, Florida |
| Authorized Official Name and Position | Nana Mimura (OWNER) |
| Authorized Official Contact | 2392060115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewal Geriatric Primary Care Pa 5630 Elbow Ave Naples FL 34113-8395 Ph: (239) 206-0115 | Renewal Geriatric Primary Care Pa 5630 Elbow Ave Naples FL 34113-8395 Ph: (239) 206-0115 |
| NPI Number | 1831661222 |
|---|---|
| Provider Enumeration Date | 12/22/2018 |
| Last Update Date | 09/23/2025 |
| Medicare PECOS PAC ID | 9234470808 |
|---|---|
| Medicare Enrollment ID | O20190408002828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831661222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nana Mimura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568563625 PECOS PAC ID: 9537175658 Enrollment ID: I20141114001212 |
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