Organization Active NPI

Physicians Manpower Inc.

  • Ophthalmology Physician
  • Miromar Lakes, FL
National Provider Identifier
1366628570
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME66463 Issued in FL
Legal business name
PHYSICIANS MANPOWER INC.
Practice address
17981 Via Bellamare LN
Miromar Lakes, FL 33913-7603
Phone
(239) 851-1518
Fax
(239) 204-2050
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Dr. John M Nassif, M.D.NPI 1982698049
Title
Owner
Phone
(239) 936-6216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME66463 FL Primary

Addresses

Primary practice location

17981 Via Bellamare LN
Miromar Lakes, FL 33913-7603

Mailing address

17981 Via Bellamare LN
Miromar Lakes, FL 33913-7603
Phone (239) 851-1518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081222000386 FL Part B Supplier - Clinic/Group Practice 9830251073 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL; Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

2350 Vanderbilt Beach Rd
Ste 301
Naples, FL 34109
Phone (239) 356-3503

2350 Vanderbilt Beach Rd
Ste 1
Naples, FL 34109

7955 Airport Rd N
Ste 104
Naples, FL 34109
Phone (239) 593-7747

2350 Vanderbilt Beach Rd
Ste 101
Naples, FL 34109
Phone (239) 206-3180

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1366628570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17981 VIA BELLAMARE LN",
            "city": "MIROMAR LAKES",
            "state": "FL",
            "postal_code": "339137603",
            "telephone_number": "239-851-1518",
            "fax_number": "239-204-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17981 VIA BELLAMARE LN",
            "city": "MIROMAR LAKES",
            "state": "FL",
            "postal_code": "339137603",
            "telephone_number": "239-851-1518",
            "fax_number": "239-204-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS MANPOWER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "NASSIF",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-936-6216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME66463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miromar Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.

Verify at the official NPI Registry.