| At Home Md | |
|
6716 Marbella Ln Naples FL 34105-5031 | |
| (239) 919-4889 | |
| (239) 299-7996 |
| Full Name | At Home Md |
|---|---|
| Speciality | Family Medicine |
| Location | 6716 Marbella Ln, Naples, Florida |
| Authorized Official Name and Position | Scott White (CEO) |
| Authorized Official Contact | 2399194889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| At Home Md 6716 Marbella Ln Naples FL 34105-5031 Ph: (239) 919-4889 | At Home Md 6716 Marbella Ln Naples FL 34105-5031 Ph: (239) 919-4889 |
| NPI Number | 1578270096 |
|---|---|
| Provider Enumeration Date | 11/03/2022 |
| Last Update Date | 11/03/2022 |
| Medicare PECOS PAC ID | 5890169015 |
|---|---|
| Medicare Enrollment ID | O20230329001823 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578270096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Carlos M Gutierrez-hevia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598722753 PECOS PAC ID: 9032018585 Enrollment ID: I20101104001672 |
| Provider Name | Daniel J Rosende |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992348437 PECOS PAC ID: 0446682371 Enrollment ID: I20191115000084 |
| Provider Name | Aylemis Regla Amador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053983809 PECOS PAC ID: 6002211414 Enrollment ID: I20210824001189 |
| Provider Name | Jason Farah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275308157 PECOS PAC ID: 6901245562 Enrollment ID: I20240415003882 |
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