Provider Demographics
NPI:1427041623
Name:NAPLES SURGICAL ASSOCIATES PA
Entity Type:Organization
Organization Name:NAPLES SURGICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAMM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-417-0085
Mailing Address - Street 1:311 9TH ST N
Mailing Address - Street 2:#308
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5885
Mailing Address - Country:US
Mailing Address - Phone:239-417-0085
Mailing Address - Fax:239-417-0087
Practice Address - Street 1:311 9TH ST N
Practice Address - Street 2:#308
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5885
Practice Address - Country:US
Practice Address - Phone:239-417-0085
Practice Address - Fax:239-417-0087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL34723OtherBCBS
FLK4230Medicare ID - Type Unspecified