Provider Demographics
NPI: | 1699704460 |
---|---|
Name: | NAPLES CARDIOLOGY |
Entity type: | Organization |
Organization Name: | NAPLES CARDIOLOGY |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | WILLIAM |
Authorized Official - Middle Name: | R |
Authorized Official - Last Name: | COOK |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 239-643-5353 |
Mailing Address - Street 1: | 694 8TH ST N |
Mailing Address - Street 2: | |
Mailing Address - City: | NAPLES |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 34102-5523 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 239-643-5353 |
Mailing Address - Fax: | 239-430-0691 |
Practice Address - Street 1: | 694 8TH ST N |
Practice Address - Street 2: | |
Practice Address - City: | NAPLES |
Practice Address - State: | FL |
Practice Address - Zip Code: | 34102-5523 |
Practice Address - Country: | US |
Practice Address - Phone: | 239-643-5353 |
Practice Address - Fax: | 239-430-0691 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-07-02 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | ME71724 | 207RC0000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | Group - Single Specialty |