| Elite Vein And Nerve Llc | |
|
2828 Tamiami Trl N Naples FL 34103-4414 | |
| (805) 588-3154 | |
| (239) 300-7208 |
| Full Name | Elite Vein And Nerve Llc |
|---|---|
| Speciality | General Practice |
| Location | 2828 Tamiami Trl N, Naples, Florida |
| Authorized Official Name and Position | Jade Stevens (OWNER) |
| Authorized Official Contact | 8055883154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Vein And Nerve Llc 2828 Tamiami Trl N Naples FL 34103-4414 Ph: (805) 588-3154 | Elite Vein And Nerve Llc 2828 Tamiami Trl N Naples FL 34103-4414 Ph: (805) 588-3154 |
| NPI Number | 1063103125 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/18/2023 |
| Medicare PECOS PAC ID | 8820442429 |
|---|---|
| Medicare Enrollment ID | O20231002000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063103125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jade Stevens |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508422023 PECOS PAC ID: 0941632384 Enrollment ID: I20191122002600 |
| Provider Name | Hedson Ricardo Desir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346866332 PECOS PAC ID: 4486074143 Enrollment ID: I20220907000864 |
| Provider Name | Laura Jean Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154030633 PECOS PAC ID: 3274902051 Enrollment ID: I20221219000619 |
| Provider Name | Jennifer Lynne Guerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679957153 PECOS PAC ID: 6002124385 Enrollment ID: I20240108005278 |
| Provider Name | Ninoucheka Orleans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588245245 PECOS PAC ID: 8921494261 Enrollment ID: I20240110001734 |
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