Provider Demographics
NPI:1932344744
Name:NEPHROLOGY-HYPERTENSION OF NAPLES PL
Entity Type:Organization
Organization Name:NEPHROLOGY-HYPERTENSION OF NAPLES PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:REID
Authorized Official - Last Name:STERRETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-348-4000
Mailing Address - Street 1:6101 PINE RIDGE RD
Mailing Address - Street 2:DESK 32
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-3900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6101 PINE RIDGE RD
Practice Address - Street 2:DESK 32
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-3900
Practice Address - Country:US
Practice Address - Phone:239-348-8804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty