Provider Demographics
NPI:1831258797
Name:NAPLES INJURY CENTER INC
Entity type:Organization
Organization Name:NAPLES INJURY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRERAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-793-3136
Mailing Address - Street 1:2740 BAYSHORE DR STE 8
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34112-5885
Mailing Address - Country:US
Mailing Address - Phone:239-793-3136
Mailing Address - Fax:239-793-3085
Practice Address - Street 1:2740 BAYSHORE DR STE 8
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-5885
Practice Address - Country:US
Practice Address - Phone:239-793-3136
Practice Address - Fax:239-793-3085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC4861305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK6709Medicare ID - Type Unspecified