Rosa Laura Medical Clinic Llc | |
2335 Tamiami Trl N Ste 203b Naples FL 34103-4442 | |
(786) 725-8799 | |
(786) 842-6494 |
Full Name | Rosa Laura Medical Clinic Llc |
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Speciality | Internal Medicine |
Location | 2335 Tamiami Trl N Ste 203b, Naples, Florida |
Authorized Official Name and Position | Daniel Morales (PRESIDENT) |
Authorized Official Contact | 7867258799 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rosa Laura Medical Clinic Llc 630 14th St Se Naples FL 34117-3695 Ph: (786) 725-8799 | Rosa Laura Medical Clinic Llc 2335 Tamiami Trl N Ste 203b Naples FL 34103-4442 Ph: (786) 725-8799 |
NPI Number | 1164165437 |
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Provider Enumeration Date | 04/15/2022 |
Last Update Date | 03/06/2023 |
Medicare PECOS PAC ID | 2062809841 |
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Medicare Enrollment ID | O20220426000573 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164165437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Daniel Morales |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013448596 PECOS PAC ID: 5597030676 Enrollment ID: I20200707002272 |
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