Provider Demographics
NPI:1275803348
Name:NAPLES INJURY AND REHAB INC.
Entity Type:Organization
Organization Name:NAPLES INJURY AND REHAB INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-348-1696
Mailing Address - Street 1:5080 ANNUNCIATION CIR UNIT 104
Mailing Address - Street 2:
Mailing Address - City:AVE MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34142-9655
Mailing Address - Country:US
Mailing Address - Phone:239-348-1696
Mailing Address - Fax:
Practice Address - Street 1:5425 GOLDEN GATE PKWY STE 5
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-7524
Practice Address - Country:US
Practice Address - Phone:239-234-6152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service