Organization
HAVEN MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA SOTO LMT (OWNER)
(813) 381-8975
Entity
Organization
Contact information
Practice address
12268 TAMIAMI TRL E STE 303, NAPLES, FL 34113-7946
(239) 331-3276
Mailing address
12268 TAMIAMI TRL E STE 303, NAPLES, FL 34113-7946
(239) 331-3276
(239) 331-3587
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
05/02/2023
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