Beals Injury Center Inc | |
5274 Golden Gate Pkwy Ste 2 Naples FL 34116-7641 | |
(239) 405-8199 | |
(239) 405-8197 |
Full Name | Beals Injury Center Inc |
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Speciality | Clinic/Center |
Location | 5274 Golden Gate Pkwy Ste 2, Naples, Florida |
Authorized Official Name and Position | Carlos Gonzales (OWNER) |
Authorized Official Contact | 2394058199 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beals Injury Center Inc 4061 Bonita Beach Rd Ste 103 Bonita Springs FL 34134-4073 Ph: (239) 405-8199 | Beals Injury Center Inc 5274 Golden Gate Pkwy Ste 2 Naples FL 34116-7641 Ph: (239) 405-8199 |
NPI Number | 1639497050 |
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Provider Enumeration Date | 05/10/2010 |
Last Update Date | 06/13/2022 |
Medicare PECOS PAC ID | 8022429752 |
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Medicare Enrollment ID | O20201201001350 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639497050 | NPI | - | NPPES |
G524101712691 | Other | FL | DRIVER LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Johnny Khoa Nguyen |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1467834572 PECOS PAC ID: 9234475310 Enrollment ID: I20190110000934 |
Provider Name | Marilys Bermudez Silva |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154018687 PECOS PAC ID: 8820450182 Enrollment ID: I20230817003295 |
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