Skin Cancer Center of Naples LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9361941 Issued in FL

Legal business name

SKIN CANCER CENTER OF NAPLES LLC

Doing business as

Skin Cancer Center of Bonita Springs

Practice address

26800 S Tamiami TRL
Suite 360
Bonita Springs, FL 34134-4349

Phone

(239) 495-1234

NPI assigned

Jul 18, 2016

Last updated

Jul 18, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Freitag, M.D.NPI 1053387050

Title

Medical Director

Phone

(301) 661-4300

Specialties & licenses 1

Addresses

Other names 1

• Skin Cancer Center of Bonita Springs Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Stephen Freitag, M.D.

  • MOHS-Micrographic Surgery Physician
  • Bonita Springs, FL
  • NPI 1053387050
  NPD (past) Authorized official
• Sydney Tateo, ARNP

  • Family Nurse Practitioner
  • Naples, FL
  • NPI 1225481005
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1164875936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29170 POSITANO LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341102851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26800 S TAMIAMI TRL",
            "address_2": "SUITE 360",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344349",
            "telephone_number": "239-495-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER CENTER OF NAPLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "FREITAG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-661-4300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9361941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin Cancer Center of Bonita Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie Silverman
• Michelle Ann Simmons Brown, JD ADS AP
• Brandy Simmons, RPH
• Simply Spine Clinics
• Trae Michael Sinn, DC
• Sleeptreatmentdirectinc
• Marvin M Sloin, DO
• David Michael Small, PHD
• Hans Smelker, DPT
• Smile Dental PLLC

• Family Nurse Practitioner in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.