| Infectious Disease Associates Of Naples Llc | |
|
3021 Airport Rd N Ste 103 Naples FL 34105-3077 | |
| (941) 277-9110 | |
| (833) 464-1853 |
| Full Name | Infectious Disease Associates Of Naples Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3021 Airport Rd N Ste 103, Naples, Florida |
| Authorized Official Name and Position | Mark Brown (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2396240800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Associates Of Naples Llc 3021 Airport Rd N Ste 103 Naples FL 34105-3077 Ph: (941) 277-9110 | Infectious Disease Associates Of Naples Llc 3021 Airport Rd N Ste 103 Naples FL 34105-3077 Ph: (941) 277-9110 |
| NPI Number | 1487193892 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 10/24/2022 |
| Medicare PECOS PAC ID | 5193107951 |
|---|---|
| Medicare Enrollment ID | O20220727000884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487193892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (Florida) | Primary |
| Provider Name | Gary A Bergen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295833812 PECOS PAC ID: 1850323668 Enrollment ID: I20050901000085 |
| Provider Name | Vakhtang Bochorishvili |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760449854 PECOS PAC ID: 0143230698 Enrollment ID: I20080818000535 |
| Provider Name | Mark Brown |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093767550 PECOS PAC ID: 1850476391 Enrollment ID: I20100303000930 |
| Provider Name | Miguel G Madariaga |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316995129 PECOS PAC ID: 9436053501 Enrollment ID: I20130801000705 |
| Provider Name | Sergey Pavlovich Akimov |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316095565 PECOS PAC ID: 9234238908 Enrollment ID: I20190114001685 |
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