Organization Active NPI

Mua Physicians of Naples LLC

  • Pain Medicine (Anesthesiology) Physician
  • Naples, FL
National Provider Identifier
1720214836
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
BB4722244 Issued in FL
Legal business name
MUA PHYSICIANS OF NAPLES LLC
Practice address
3467 Pine Ridge Rd
Suite 102
Naples, FL 34109-3832
Phone
(239) 592-5367
Fax
(239) 592-5048
NPI assigned
Jun 3, 2009
Last updated
Jun 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Matthew Black, MD
Title
President
Phone
(239) 592-5367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X BB4722244 FL Primary

Addresses

Primary practice location

3467 Pine Ridge Rd
Suite 102
Naples, FL 34109-3832

Mailing address

3467 Pine Ridge Rd
Suite 102
Naples, FL 34109-3832
Phone (239) 592-5367

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1720214836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3467 PINE RIDGE RD",
            "address_2": "SUITE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093832",
            "telephone_number": "239-592-5367",
            "fax_number": "239-592-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3467 PINE RIDGE RD",
            "address_2": "SUITE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093832",
            "telephone_number": "239-592-5367",
            "fax_number": "239-592-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUA PHYSICIANS OF NAPLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-592-5367",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "BB4722244",
            "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 3, 2009; 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.