Provider Demographics
NPI:1649814427
Name:NAPLES BEHAVIORAL, INC.
Entity type:Organization
Organization Name:NAPLES BEHAVIORAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:LUZARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-873-6768
Mailing Address - Street 1:7433 BIG CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2556
Mailing Address - Country:US
Mailing Address - Phone:786-873-6768
Mailing Address - Fax:305-508-4302
Practice Address - Street 1:12631 WORLD PLAZA LN BLDG 54
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3990
Practice Address - Country:US
Practice Address - Phone:786-873-6768
Practice Address - Fax:305-508-4302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health