Alta Health Group LLC
Family Medicine in Naples, FL. Organization (NPI-2).
NPI number1700133303
StatusActive
Last updated in NPPESAug 14, 2012
Details
- NPI
- 1700133303
- Entity type
- Organization (NPI-2)
- Legal business name
- Alta Health Group LLC
- Organization subpart
- Yes
- Enumeration date
- Aug 14, 2012
- Last updated
- Aug 14, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
7385 Radio RdSuite 104
Naples, FL 34104-6704
Phone 239-434-6000
Mailing address
9010 Strada Stell CtSuite 107
Naples, FL 34109-4424
Phone 239-434-6000
Authorized official
Thomas Gipp Brown
Manager - Ceo
2394346000
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