Provider Demographics
NPI:1215346523
Name:NAPLES PHYSICIANS HOSPITAL ORGANIZATION INC.
Entity type:Organization
Organization Name:NAPLES PHYSICIANS HOSPITAL ORGANIZATION INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JARDONE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BS, CRRN, CCM
Authorized Official - Phone:239-659-7701
Mailing Address - Street 1:851 5TH AVE N STE 201
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5582
Mailing Address - Country:US
Mailing Address - Phone:217-714-5364
Mailing Address - Fax:
Practice Address - Street 1:851 5TH AVE N STE 201
Practice Address - Street 2:SUITE 201
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5582
Practice Address - Country:US
Practice Address - Phone:217-714-5364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization