Naples Injury Center #2 Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

HCC6909 Issued in FL

Legal business name

NAPLES INJURY CENTER #2 INC

Practice address

876 W Sugarland Hwy
Unit 1 C
Clewiston, FL 33440-2704

Phone

(863) 902-1200

Fax

(863) 902-1204

NPI assigned

Dec 7, 2006

Last updated

Aug 22, 2020By 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

Mrs. Catalina Carreras

Title

Administrator

Phone

(863) 902-1200

Specialties & licenses 1

Addresses

Locations

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.

• Luis M Campillo, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1922054352
  NPD (past)
• Jorge Valido, MD

  • General Practice Physician
  • Miami, FL
  • NPI 1164467767
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407915374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 W SUGARLAND HWY",
            "address_2": "UNIT 1 C",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334402704",
            "telephone_number": "863-902-1200",
            "fax_number": "863-902-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 W SUGARLAND HWY",
            "address_2": "UNIT 1 C",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334402704",
            "telephone_number": "863-902-1200",
            "fax_number": "863-902-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPLES INJURY CENTER #2 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARRERAS",
        "authorized_official_first_name": "CATALINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-902-1200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "HCC6909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mailyn Morales
• Rosana Morales, PHARM.D.
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• Shaun Nazar, D.O.
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• Ryan Turner Nelson, D.C.
• Neuronest Behavioral Support LLC

• Point of Service in Clewiston, FL
• Providers in Clewiston, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.