Organization Name: | PHYSICIAN LED ACCESS NETWORK (PLAN) OF COLLIER COUNTY |
NPI Number: | 1669764585 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE S JAY (PROGRAM MANAGER) |
Mailing Address: | 1012 Goodlette Rd N Ste 201 Naples |
State: | FL US |
Postal Code: | 341025463 |
Phone Number: | 2397763016 |
Fax Number: | 2394351297 |
NPI Enumeration Date: | 05/11/2011 |
NPI Last Update Date: | 05/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |