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750 S 5th St Ste 100d Immokalee FL 34142-4301 | |
| (239) 571-9015 | |
| (949) 404-8793 |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 750 S 5th St Ste 100d, Immokalee, Florida |
| Authorized Official Name and Position | Paul J. Thein (MANGER) |
| Authorized Official Contact | 2393029223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
750 S 5th St Ste 100d Immokalee FL 34142-4301 Ph: (239) 571-9015 | 750 S 5th St Ste 100d Immokalee FL 34142-4301 Ph: (239) 571-9015 |
| NPI Number | 1649815200 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 09/30/2024 |
| Medicare PECOS PAC ID | 0143654145 |
|---|---|
| Medicare Enrollment ID | O20191230000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649815200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Celia M Burke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871182402 PECOS PAC ID: 0446669998 Enrollment ID: I20210512003313 |
| Provider Name | Ainalez Perez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871844837 PECOS PAC ID: 2860895976 Enrollment ID: I20210727003730 |
| Provider Name | Linda Gail Cook |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578780540 PECOS PAC ID: 4385025436 Enrollment ID: I20220720002192 |
| Provider Name | Carolina Figley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598219024 PECOS PAC ID: 7315235777 Enrollment ID: I20230926003163 |
| Provider Name | Lisa Anne Feola |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295508232 PECOS PAC ID: 2365889045 Enrollment ID: I20240318003549 |
| Provider Name | Nohely Torres |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1043098866 PECOS PAC ID: 1254778749 Enrollment ID: I20240319004235 |
| Provider Name | Lindsay Nahara Dessources |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225865884 PECOS PAC ID: 3072048602 Enrollment ID: I20241120000061 |
Collier Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-932-6935 | |
Collier Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W Unit 3, Immokalee, FL 34142 Phone: 239-658-3000 | |