Organization
NEPHROLOGY INSTITUTE OF NAPLES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERA STRICEVIC MD (OWNER)
(239) 860-6965
Entity
Organization
Contact information
Practice address
671 GOODLETTE RD N, NAPLES, FL 34102-5469
(239) 860-6965
Mailing address
671 GOODLETTE RD N, NAPLES, FL 34102-5469
(239) 860-6965
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME94388
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274207100
—
FL
01
—
35115
BCBS
FL
01
—
P00301366
RAIL ROAD MEDICARE
FL
Enumeration date
10/16/2012
Last updated
10/16/2012
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