| Redi Med Llc | |
|
4550 Executive Dr #104 Naples FL 34119-8805 | |
| (239) 566-1226 | |
| (239) 566-2519 |
| Full Name | Redi Med Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4550 Executive Dr, Naples, Florida |
| Authorized Official Name and Position | Shawn Miller (OWNER) |
| Authorized Official Contact | 2395661226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redi Med Llc 4550 Executive Dr #104 Naples FL 34119-8805 Ph: (239) 566-1226 | Redi Med Llc 4550 Executive Dr #104 Naples FL 34119-8805 Ph: (239) 566-1226 |
| NPI Number | 1194737403 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 04/17/2009 |
| Medicare PECOS PAC ID | 9638137045 |
|---|---|
| Medicare Enrollment ID | O20041230000471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194737403 | NPI | - | NPPES |
| 51538A | Other | LA | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME80489 (Florida) | Primary |
| Provider Name | Daniel Pop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386114841 PECOS PAC ID: 7911237003 Enrollment ID: I20191003000789 |
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