Organization
IDEAL IMAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILY LAESER ARNP (NURSE PRACTITIONER)
(239) 596-2005
Entity
Organization
Contact information
Practice address
1485 PINE RIDGE RD, NAPLES, FL 34109-2114
(239) 596-2005
(239) 596-1090
Mailing address
1485 PINE RIDGE RD, NAPLES, FL 34109-2114
(239) 596-2005
(239) 596-1090
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9286385
FL
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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