Provider Demographics
NPI:1912151481
Name:CARDIOLOGY CONSULTANTS OF NAPLES, LLC
Entity type:Organization
Organization Name:CARDIOLOGY CONSULTANTS OF NAPLES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOUHANNAD
Authorized Official - Middle Name:
Authorized Official - Last Name:DALAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACC, CCDS
Authorized Official - Phone:239-438-1067
Mailing Address - Street 1:1217 PIPER BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1433
Mailing Address - Country:US
Mailing Address - Phone:239-438-1067
Mailing Address - Fax:239-216-8948
Practice Address - Street 1:6101 PINE RIDGE RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-3900
Practice Address - Country:US
Practice Address - Phone:239-348-4482
Practice Address - Fax:239-304-4842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes305S00000XManaged Care OrganizationsPoint of Service
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty