Paradise Coast Breast Specialists LLC
Surgery in Naples, FL. Organization (NPI-2).
NPI number1184106973
StatusActive
Last updated in NPPESSep 28, 2020
Details
- NPI
- 1184106973
- Entity type
- Organization (NPI-2)
- Legal business name
- Paradise Coast Breast Specialists LLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2018
- Certification date
- Sep 28, 2020
- Last updated
- Sep 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | ME123757 | FL | Yes |
Practice location
7955 Airport Rd N Ste 100Naples, FL 34109-1794
Phone 239-734-3533
Mailing address
7955 Airport Rd N Ste 100Naples, FL 34109-1794
Phone 239-734-3533
Authorized official
Troy Shell
Owner
2397343533
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