| Access Line, Llc | |
|
15642 Summit Place Cir Naples FL 34119-4111 | |
| (163) 044-1876 | |
| Not Available |
| Full Name | Access Line, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15642 Summit Place Cir, Naples, Florida |
| Authorized Official Name and Position | Jill M Anderson (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 6304418766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Line, Llc 15642 Summit Place Cir Naples FL 34119-4111 Ph: (163) 044-1876 | Access Line, Llc 15642 Summit Place Cir Naples FL 34119-4111 Ph: (163) 044-1876 |
| NPI Number | 1437835709 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 06/22/2023 |
| Medicare PECOS PAC ID | 5890130785 |
|---|---|
| Medicare Enrollment ID | O20240301001360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437835709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jill M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538463971 PECOS PAC ID: 4880903103 Enrollment ID: I20151027001219 |
| Provider Name | Cindy Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760728554 PECOS PAC ID: 1052620374 Enrollment ID: I20151027001255 |
| Provider Name | Sheri H Mangueira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639566201 PECOS PAC ID: 2163711482 Enrollment ID: I20160510000777 |
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