| Allstate Health Services Inc | |
|
5282 Golden Gate Pkwy Ste C Naples FL 34116-7649 | |
| (239) 880-2680 | |
| (239) 880-2655 |
| Full Name | Allstate Health Services Inc |
|---|---|
| Speciality | General Practice |
| Location | 5282 Golden Gate Pkwy Ste C, Naples, Florida |
| Authorized Official Name and Position | Raciel Gomez Rodriguez (PRESIDENT) |
| Authorized Official Contact | 2398802680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allstate Health Services Inc 5282 Golden Gate Pkwy Ste C Naples FL 34116-7649 Ph: (239) 880-2680 | Allstate Health Services Inc 5282 Golden Gate Pkwy Ste C Naples FL 34116-7649 Ph: (239) 880-2680 |
| NPI Number | 1588289185 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 07/22/2023 |
| Medicare PECOS PAC ID | 8527488113 |
|---|---|
| Medicare Enrollment ID | O20201021000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588289185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Raciel Gomez Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205203254 PECOS PAC ID: 7719264571 Enrollment ID: I20170503001476 |
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