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Organization
RENEWAL GERIATRIC PRIMARY CARE PA
Active
Organization
RENEWAL GERIATRIC PRIMARY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANA MIMURA MD (OWNER)
(239) 206-0115
Entity
Organization
Contact information
Practice address
5630 ELBOW AVE, NAPLES, FL 34113-8395
(239) 206-0115
(239) 307-2455
Mailing address
5630 ELBOW AVE, NAPLES, FL 34113-8395
(239) 206-0115
(239) 307-2455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/22/2018
Last updated
09/23/2025
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