| Trail Health Center Llc | |
|
3715 Tamiami Trl E Naples FL 34112-6222 | |
| (239) 793-6434 | |
| (239) 793-2184 |
| Full Name | Trail Health Center Llc |
|---|---|
| Speciality | General Practice |
| Location | 3715 Tamiami Trl E, Naples, Florida |
| Authorized Official Name and Position | Claude J Kenol (PRESIDENT) |
| Authorized Official Contact | 2397936434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trail Health Center Llc Po Box 8568 Naples FL 34101-8568 Ph: (239) 793-2184 | Trail Health Center Llc 3715 Tamiami Trl E Naples FL 34112-6222 Ph: (239) 793-6434 |
| NPI Number | 1710191465 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710191465 | NPI | - | NPPES |
| 44586 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME74930 (Florida) | Primary |
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