| NPI | 1851505200 |
|---|---|
| Doing Business As | EAST NAPLES PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | MIKE ELLIS CEO 239-658-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2019-01-09 |