Northeast Atlanta Vascular Care, LLC
General Acute Care Hospital, Critical Access in Naples, FL. Organization (NPI-2).
NPI number1699362004
StatusActive
Last updated in NPPESDec 31, 2020
Details
- NPI
- 1699362004
- Entity type
- Organization (NPI-2)
- Legal business name
- Northeast Atlanta Vascular Care, LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 31, 2020
- Certification date
- Dec 29, 2020
- Last updated
- Dec 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282NC0060X | General Acute Care Hospital, Critical Access | – | – | Yes |
Practice location
9140 Corsea Del Fontana WayNaples, FL 34109-4397
Phone 239-597-2010 · Fax 239-597-2313
Mailing address
9140 Corsea Del Fontana WayNaples, FL 34109-4397
Phone 239-597-2010 · Fax 239-597-2313
Authorized official
Lisa Mcnamara
Cfo
2395972010
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