Provider Demographics
NPI:1396067435
Name:VERT OF NAPLES INC.
Entity type:Organization
Organization Name:VERT OF NAPLES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ED
Authorized Official - Middle Name:
Authorized Official - Last Name:TORKELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-248-0674
Mailing Address - Street 1:1240 BLUE POINT AVE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-0581
Mailing Address - Country:US
Mailing Address - Phone:239-248-0674
Mailing Address - Fax:
Practice Address - Street 1:431 BAYFRONT PL
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6454
Practice Address - Country:US
Practice Address - Phone:239-434-8378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization