Organization Active NPI

SK Medical Services of South Florida LLC

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1508248766
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9322553 Issued in FL
Legal business name
SK MEDICAL SERVICES OF SOUTH FLORIDA LLC
Practice address
15570 Marcello Cir
Naples, FL 34110-2839
Phone
(414) 803-4352
NPI assigned
Jun 24, 2015
Last updated
Jun 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Ms. Shawn King
Title
Sole MBR
Phone
(414) 803-4352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 9322553 FL Primary

Addresses

Primary practice location

15570 Marcello Cir
Naples, FL 34110-2839

Mailing address

15570 Marcello Cir
Naples, FL 34110-2839
Phone (414) 803-4352

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1508248766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15570 MARCELLO CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341102839",
            "telephone_number": "414-803-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15570 MARCELLO CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341102839",
            "telephone_number": "414-803-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SK MEDICAL SERVICES OF SOUTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "414-803-4352",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9322553",
            "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 Jun 24, 2015; 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.