FUNCTIONAL MEDICINE APRN LLC NPI 1588311914

NPI Information

NPI: 1588311914
Provider Name: FUNCTIONAL MEDICINE APRN LLC

Doing Business As: NAPLES CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
7385 RADIO RD STE 104
NAPLES, FL
ZIP 34104
Phone: (239) 601-4659
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FUNCTIONAL MEDICINE APRN LLC is a primary care clinic center in Naples, FL. FUNCTIONAL MEDICINE APRN LLC NPI is 1588311914. The provider is registered as an organization entity type.
The provider Is Doing Business As Naples Clinic.

The provider's business location address is:

7385 RADIO RD STE 104
NAPLES, FL
ZIP 34104-705
Phone: (239) 601-4659

The provider's authorized official is Kathy Verdes .
The authorized official title is Owner and has the following contact phone number (239) 601-4659.

The CLIA number assigned to this NPI record is 10D2261371 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2022 and was last updated on 3/14/2022.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 4/28/2024

NPI Synchronization or Removal

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