Organization
TRAIL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDE J KENOL MD (PRESIDENT)
(239) 793-6434
Entity
Organization
Contact information
Practice address
3715 TAMIAMI TRL E, NAPLES, FL 34112-6222
(239) 793-6434
(239) 793-2184
Mailing address
PO BOX 8568, NAPLES, FL 34101-8568
(239) 793-2184
(239) 793-2184
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME74930
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44586
BCBS
FL
Enumeration date
05/10/2007
Last updated
08/22/2020
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