Provider Demographics
NPI:1538228671
Name:NAPLES CARDIOVASCULAR SPECIALISTS
Entity type:Organization
Organization Name:NAPLES CARDIOVASCULAR SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:JAVIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-261-2312
Mailing Address - Street 1:4001 SANTA BARBARA BLVD
Mailing Address - Street 2:PMB 380
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-8808
Mailing Address - Country:US
Mailing Address - Phone:239-261-2312
Mailing Address - Fax:239-263-7913
Practice Address - Street 1:680 2ND AVE N
Practice Address - Street 2:SUITE 203
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5753
Practice Address - Country:US
Practice Address - Phone:239-261-2312
Practice Address - Fax:239-263-7913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDG0303OtherRR MEDICARE
FL99161OtherBCBS
FL99161OtherBCBS