Active NPI
Innovative Healthcare Group LLC
- Critical Care Medicine (Internal Medicine) Physician
- Naples, FL
National Provider Identifier
1518413095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- Legal business name
- INNOVATIVE HEALTHCARE GROUP LLC
- Practice address
- 4850 Tamiami TRL N Unit 301
Naples, FL 34103-3034 - Phone
- (239) 216-7083
- NPI assigned
- Aug 25, 2016
- 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
- Mr. Jimmy Dascani
- Title
- Ceo
- Phone
- (239) 216-7083
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Primary | ||
| Surgical Critical Care Physician | 2086S0102X |
Addresses
Primary practice location
4850 Tamiami TRL N Unit 301
Naples, FL 34103-3034
Mailing address
4850 Tamiami TRL N Unit 301
Naples, FL 34103-3034
Phone (239) 216-7083
National Provider Directory
National Provider DirectoryLocations
4850 Tamiami Trl N
Unit 301
Naples, FL 34103
Phone (239) 234-2647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1518413095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 TAMIAMI TRL N UNIT 301",
"city": "NAPLES",
"state": "FL",
"postal_code": "341033034",
"telephone_number": "239-216-7083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 TAMIAMI TRL N UNIT 301",
"city": "NAPLES",
"state": "FL",
"postal_code": "341033034",
"telephone_number": "239-216-7083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE HEALTHCARE GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-25",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A",
"authorized_official_last_name": "DASCANI",
"authorized_official_first_name": "JIMMY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "239-216-7083",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Surgical Critical Care",
"state": null,
"license": null,
"primary": false
}
],
"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 Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.