| Breezemed Urgent Care Llc | |
|
15044 Sandpiper Ln Unit 8 Naples FL 34114-8585 | |
| (239) 529-2142 | |
| (239) 230-2977 |
| Full Name | Breezemed Urgent Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15044 Sandpiper Ln Unit 8, Naples, Florida |
| Authorized Official Name and Position | Jarrod Stewart Roberts (OWNER/ MEDICAL DIRECTOR) |
| Authorized Official Contact | 2395292142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breezemed Urgent Care Llc 15044 Sandpiper Ln Unit 8 Naples FL 34114-8585 Ph: (239) 529-2142 | Breezemed Urgent Care Llc 15044 Sandpiper Ln Unit 8 Naples FL 34114-8585 Ph: (239) 529-2142 |
| NPI Number | 1649937715 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 02/01/2023 |
| Medicare PECOS PAC ID | 9335520790 |
|---|---|
| Medicare Enrollment ID | O20220928003751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649937715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Anthony R Conti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215964291 PECOS PAC ID: 4789622895 Enrollment ID: I20170419001014 |
| Provider Name | Jarrod Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659466100 PECOS PAC ID: 7113093154 Enrollment ID: I20210727003573 |
| Provider Name | Stephanie Velazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679200943 PECOS PAC ID: 9537521927 Enrollment ID: I20230817000065 |
| Provider Name | Ronald S Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245250273 PECOS PAC ID: 2668578048 Enrollment ID: I20231130000642 |
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