Provider Demographics
NPI:1225264682
Name:NAPLES HMA, LLC
Entity Type:Organization
Organization Name:NAPLES HMA, LLC
Other - Org Name:PHYSICIANS REGIONAL - BONITA IMAGING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:R
Authorized Official - Last Name:PARRY
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:239-598-3131
Mailing Address - Street 1:24231 WALDEN CENTER DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-5013
Mailing Address - Country:US
Mailing Address - Phone:239-348-4000
Mailing Address - Fax:
Practice Address - Street 1:24231 WALDEN CENTER DR
Practice Address - Street 2:SUITE 202
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134-5013
Practice Address - Country:US
Practice Address - Phone:239-348-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology