Organization Active NPI

Luciano Boemi, M.D., P.a.

  • Specialist
  • Naples, FL
National Provider Identifier
1235373937
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 0075944 Issued in FL
Legal business name
LUCIANO BOEMI, M.D., P.A.
Practice address
11181 Health Park Blvd Ste 1115
Naples, FL 34110-5742
Phone
(239) 594-9100
Fax
(239) 594-3054
NPI assigned
Apr 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Mrs. Cassie Jane Boemi
Title
Vice President
Phone
(239) 594-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME 0075944 FL Primary

Addresses

Primary practice location

11181 Health Park Blvd Ste 1115
Naples, FL 34110-5742

Mailing address

11181 Health Park Blvd Ste 1115
Naples, FL 34110-5742
Phone (239) 594-9100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1235373937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11181 HEALTH PARK BLVD STE 1115",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341105742",
            "telephone_number": "239-594-9100",
            "fax_number": "239-594-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11181 HEALTH PARK BLVD STE 1115",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341105742",
            "telephone_number": "239-594-9100",
            "fax_number": "239-594-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIANO BOEMI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "BOEMI",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "239-594-9100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 0075944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.