| Moorings Park Healthy Living, Inc | |
|
120 Moorings Park Dr Naples FL 34105-2122 | |
| (239) 430-6387 | |
| (239) 430-6365 |
| Full Name | Moorings Park Healthy Living, Inc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 120 Moorings Park Dr, Naples, Florida |
| Authorized Official Name and Position | Mary Morton (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 2396439168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moorings Park Healthy Living, Inc 120 Moorings Park Dr Naples FL 34105-2122 Ph: (239) 430-6387 | Moorings Park Healthy Living, Inc 120 Moorings Park Dr Naples FL 34105-2122 Ph: (239) 430-6387 |
| NPI Number | 1114296209 |
|---|---|
| Provider Enumeration Date | 12/20/2011 |
| Last Update Date | 09/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114296209 | NPI | - | NPPES |
| FX839A | Other | FL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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