| Naples Direct Medical Pllc | |
|
1755 Heritage Trl Ste 601 Naples FL 34112-7600 | |
| (239) 529-2581 | |
| (239) 331-8287 |
| Full Name | Naples Direct Medical Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1755 Heritage Trl Ste 601, Naples, Florida |
| Authorized Official Name and Position | Mary Anne C Farris (OWNER) |
| Authorized Official Contact | 3309788754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Naples Direct Medical Pllc 1755 Heritage Trl Ste 601 Naples FL 34112-7600 Ph: (239) 529-2581 | Naples Direct Medical Pllc 1755 Heritage Trl Ste 601 Naples FL 34112-7600 Ph: (239) 529-2581 |
| NPI Number | 1710562764 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 06/15/2021 |
| Medicare PECOS PAC ID | 7810396249 |
|---|---|
| Medicare Enrollment ID | O20210604000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710562764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mary Anne Farris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558619825 PECOS PAC ID: 1658681408 Enrollment ID: I20151105002450 |
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