Active NPI
Dryp Florida LLC
- Surgery Physician
- Naples, FL
National Provider Identifier
1376364349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- DRYP FLORIDA LLC
- Practice address
- 3411 Tamiami TRL N Ste 204
Naples, FL 34103-3700 - Phone
- (239) 300-8171
- NPI assigned
- Oct 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelly Miller, RN
- Title
- Ceo
- Phone
- (740) 637-8038
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
3411 Tamiami TRL N Ste 204
Naples, FL 34103-3700
Mailing address
212 Silverado Dr
Naples, FL 34119-4614
Phone (740) 637-8038
Other names 1
- BLUEGRASS WOUND CARE AND HYPERBARICS OF FLORIDA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3411 Tamiami Trl N
Ste 204
Naples, FL 34103
Phone (239) 235-0802
Practitioners & affiliated clinicians
Practitioners 1
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": "1729555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732060800000",
"number": "1376364349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 SILVERADO DR",
"city": "NAPLES",
"state": "FL",
"postal_code": "341194614",
"telephone_number": "740-637-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 TAMIAMI TRL N STE 204",
"city": "NAPLES",
"state": "FL",
"postal_code": "341033700",
"telephone_number": "239-300-8171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRYP FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-22",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "SHELLY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "740-637-8038",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BLUEGRASS WOUND CARE AND HYPERBARICS OF FLORIDA",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BLUEGRASS WOUND CARE AND HYPERBARICS OF FLORIDA",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 20, 2024; 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.