Jcmd Llc | |
2575 Northbrooke Plaza Dr Unit 207 Naples FL 34119-8099 | |
(239) 919-4342 | |
(239) 919-4342 |
Full Name | Jcmd Llc |
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Speciality | Psychiatry & Neurology |
Location | 2575 Northbrooke Plaza Dr Unit 207, Naples, Florida |
Authorized Official Name and Position | Marci Charland (ADMINISTRATOR) |
Authorized Official Contact | 2399194342 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jcmd Llc 2338 Immokalee Rd # 203 Naples FL 34110-1445 Ph: (239) 919-4342 | Jcmd Llc 2575 Northbrooke Plaza Dr Unit 207 Naples FL 34119-8099 Ph: (239) 919-4342 |
NPI Number | 1720717978 |
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Provider Enumeration Date | 06/05/2022 |
Last Update Date | 06/05/2022 |
Certification Date | 06/05/2022 |
Medicare PECOS PAC ID | 3779964523 |
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Medicare Enrollment ID | O20220726000162 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720717978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Joshua N Daniel |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1841647823 PECOS PAC ID: 2860780335 Enrollment ID: I20220728000200 |
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