Active NPI
Florida Dec LLC
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Naples, FL
National Provider Identifier
1306730577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- FLORIDA DEC LLC
- Practice address
- 11181 Health Park Blvd Ste 2265
Naples, FL 34110-5735 - Phone
- (219) 308-3494
- NPI assigned
- Jun 4, 2025
- Last updated
- Apr 3, 2026
- Organization subpart
- Yes
- Parent organization
- COOPER HOME HEALTH FLORIDA LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Nelson Andres Fernandez Jr.
- Title
- VP of Operations
- Phone
- (239) 837-3374
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
11181 Health Park Blvd Ste 2265
Naples, FL 34110-5735
Mailing address
11181 Health Park Blvd Ste 2265
Naples, FL 34110-5735
Phone (239) 837-3374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250910000961 | FL | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 5395248074 | Practice locations: Naples, FL |
National Provider Directory
National Provider DirectoryLocations
11181 Health Park Blvd
Ste 2265
Naples, FL 34110
Phone (219) 308-3494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775174400000",
"number": "1306730577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11181 HEALTH PARK BLVD STE 2265",
"city": "NAPLES",
"state": "FL",
"postal_code": "341105735",
"telephone_number": "239-837-3374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11181 HEALTH PARK BLVD STE 2265",
"city": "NAPLES",
"state": "FL",
"postal_code": "341105735",
"telephone_number": "219-308-3494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA DEC LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COOPER HOME HEALTH FLORIDA LLC",
"enumeration_date": "2025-06-04",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "NELSON",
"authorized_official_middle_name": "ANDRES",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "239-837-3374",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
- Florida Cancer Specialists & Research Institute, LLC
- Florida Cancer Specialists & Research Institute, LLC
- Florida Cancer Specialists & Research Institute, LLC (Florida Cancer Specialists)
- Florida Coast Counseling LLC (Florida Coast Counseling)
- Florida Coastal Surgery Center, Inc
- Florida Dental Implant Institute Inc
- Florida Dental Implant Institute of Naples PA
- Florida Dental Professionals, P.a. (Naples Periodontist)
- Florida Dental Professionals, P.a. (Dental Care and Implants of Naples)
- Florida Dental Professionals, P.a. (Complete Dental Care of Naples)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.