| North Naples Internal Medicine Llc | |
|
10621 Airport Pulling Rd N Suite 1 Naples FL 34109-1599 | |
| (239) 330-9999 | |
| (239) 330-1473 |
| Full Name | North Naples Internal Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10621 Airport Pulling Rd N, Naples, Florida |
| Authorized Official Name and Position | Michael S Shahla (MANAGER/OWNER) |
| Authorized Official Contact | 2392877640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Naples Internal Medicine Llc 10621 Airport Pulling Rd N Suite 1 Naples FL 34109-1599 Ph: (239) 330-9999 | North Naples Internal Medicine Llc 10621 Airport Pulling Rd N Suite 1 Naples FL 34109-1599 Ph: (239) 330-9999 |
| NPI Number | 1255768164 |
|---|---|
| Provider Enumeration Date | 10/09/2013 |
| Last Update Date | 12/03/2013 |
| Medicare PECOS PAC ID | 5395971089 |
|---|---|
| Medicare Enrollment ID | O20131203000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255768164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Michael S Shahla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548480270 PECOS PAC ID: 5890879571 Enrollment ID: I20080220000370 |
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