Organization Active NPI

Haven Medical Center, Inc.

  • Physical Therapy Clinic/Center
  • Naples, FL
National Provider Identifier
1679173926
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HAVEN MEDICAL CENTER, INC.
Practice address
12268 Tamiami TRL E Ste 303
Naples, FL 34113-7946
Phone
(239) 331-3276
NPI assigned
Oct 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Ms. Tamara Soto, LMTNPI 1629682844
Title
Owner
Phone
(813) 381-8975

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

12268 Tamiami TRL E Ste 303
Naples, FL 34113-7946

Mailing address

12268 Tamiami TRL E Ste 303
Naples, FL 34113-7946
Phone (239) 331-3276

National Provider Directory

National Provider Directory

Locations

11961 N Florida Ave
Tampa, FL 33612
Phone (813) 930-8529

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": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1679173926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12268 TAMIAMI TRL E STE 303",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137946",
            "telephone_number": "239-331-3276",
            "fax_number": "239-331-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12268 TAMIAMI TRL E STE 303",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137946",
            "telephone_number": "239-331-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-381-8975",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 May 2, 2023; 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.