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4867 Golden Gate Pkwy Naples FL 34116-6953 | |
| (239) 234-5623 | |
| (239) 234-5624 |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 4867 Golden Gate Pkwy, Naples, Florida |
| Authorized Official Name and Position | Carlos Alberto Adan (OWNER) |
| Authorized Official Contact | 2392345623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
4867 Golden Gate Pkwy Naples FL 34116-6953 Ph: (239) 234-5623 | 4867 Golden Gate Pkwy Naples FL 34116-6953 Ph: (239) 234-5623 |
| NPI Number | 1184922288 |
|---|---|
| Provider Enumeration Date | 03/14/2011 |
| Last Update Date | 01/16/2025 |
| Medicare PECOS PAC ID | 2860620234 |
|---|---|
| Medicare Enrollment ID | O20140109000862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184922288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Guillermo C Narvarte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205927894 PECOS PAC ID: 1557371093 Enrollment ID: I20060428000252 |
| Provider Name | Raciel Gomez Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205203254 PECOS PAC ID: 7719264571 Enrollment ID: I20170503001476 |
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