Provider Demographics
NPI:1871253526
Name:TRUE COMPASSIONATE CARE PA
Entity Type:Organization
Organization Name:TRUE COMPASSIONATE CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMECA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-294-1607
Mailing Address - Street 1:2590 NORTHBROOKE PLAZA DR STE 107
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8100
Mailing Address - Country:US
Mailing Address - Phone:239-294-1607
Mailing Address - Fax:239-294-1608
Practice Address - Street 1:2590 NORTHBROOKE PLAZA DR STE 107
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-8100
Practice Address - Country:US
Practice Address - Phone:239-294-1607
Practice Address - Fax:239-294-1608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty