Provider Demographics
NPI:1558735522
Name:THE DOC NOW
Entity Type:Organization
Organization Name:THE DOC NOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:EVERETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-322-0066
Mailing Address - Street 1:6900 DANIELS PKWY
Mailing Address - Street 2:SUITE 29-292
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-7513
Mailing Address - Country:US
Mailing Address - Phone:888-522-8339
Mailing Address - Fax:
Practice Address - Street 1:2355 VANDERBILT BEACH RD
Practice Address - Street 2:SUITE 146
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-2766
Practice Address - Country:US
Practice Address - Phone:888-522-8339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-13
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily HealthGroup - Multi-Specialty