Active NPI
Haven Medical Center, Inc.
- Physical Therapy Clinic/Center
- Naples, FL
National Provider Identifier
1679173926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tamara Soto, LMT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Massage Therapist
- Tampa, FL
- NPI 1629682844
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.