REDI MED LLC NPI 1194737403

NPI Information

  • NPI: 1194737403
  • Provider Name: REDI MED LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D1036794
  • Address: 4550 EXECUTIVE DR
    #104
    NAPLES, FL
    ZIP 34119
  • Phone: (239) 566-1226

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NPI Details

REDI MED LLC is a clinic center in Naples, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). REDI MED LLC NPI is 1194737403. The provider is registered as an organization entity type.

The provider's business location address is:

4550 EXECUTIVE DR
#104
NAPLES, FL
ZIP 34119-805
Phone: (239) 566-1226
Fax: (239) 566-2519

The provider's authorized official is Shawn Miller .
The authorized official title is Owner and has the following contact phone number (239) 566-1226.

The CLIA number assigned to this NPI record is 10D1036794 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 4/17/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterME80489FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K6941MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE NUMBER
251538AOTHERLOUISIANABC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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