Provider Demographics
NPI:1144002080
Name:FLORIDA HEALTH CENTERS OF NAPLES, LLC
Entity type:Organization
Organization Name:FLORIDA HEALTH CENTERS OF NAPLES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LAZARO
Authorized Official - Middle Name:ROBERTO
Authorized Official - Last Name:DIAZ NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-428-1010
Mailing Address - Street 1:2664 TAMIAMI TRL E
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-5707
Mailing Address - Country:US
Mailing Address - Phone:239-428-1010
Mailing Address - Fax:239-734-6342
Practice Address - Street 1:2664 TAMIAMI TRL E
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-5707
Practice Address - Country:US
Practice Address - Phone:239-428-1010
Practice Address - Fax:239-734-6342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty