Lighthouse Pediatrics Of Naples, Llc
Pediatrics
Lighthouse Pediatrics Of Naples, Llc is a Naples, Florida based Pediatric center with medical specialization in
General Pediatrics.
It is located at
3227 Horseshoe Dr S, Naples, Florida - 34104-6114. They can be contacted on phone at
239-449-9882 and fax number 239-449-9884.
NPI number (Unique professional ID) for Lighthouse Pediatrics Of Naples, Llc is
1285023309 which was assigned by NPPES on 13 Jan, 2015 and it was last updated on 13 Jan, 2015.
Lighthouse Pediatrics Of Naples, Llc license number is
ME076050 for Pediatrics (208000000X) in Florida.
Lighthouse Pediatrics Of Naples, Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lighthouse Pediatrics Of Naples, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Lighthouse Pediatrics Of Naples, Llc |
|---|
Business Address:
Lighthouse Pediatrics Of Naples, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3227 Horseshoe Dr S
Naples, FL, 34104-6114
United States |
|---|
| Phone Number : | 239-449-9882 |
|---|
| Fax Number : | 239-449-9884 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1285023309 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 13 Jan, 2015 |
|---|
| Last Updated On : | 13 Jan, 2015 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Debragoodridge Shepard |
|---|
| Authorized Official Credential : | M.D. |
|---|
| Official Title or Position : | DOCTOR/PRACTICE CO-OWNER |
|---|
| Phone Number : | 239-449-9882 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lighthouse Pediatrics Of Naples, Llc are as mentioned. Primary taxonomy code for Lighthouse Pediatrics Of Naples, Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | No | ME0053566 | FL |
| 208000000X | Pediatrics | Yes | ME076050 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Lighthouse Pediatrics Of Naples, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1043264302 | Other | | INDIVIDUAL NPI |
| 048604300 | MEDICAID | FL | |
| 43843 | Other | FL | BCBS |
| 254504700 | MEDICAID | FL | |
| 07336 | Other | FL | BCBS |
| 1619918711 | Other | | INDIVIDUAL NPI |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3227 Horseshoe Dr S
Naples, FL, 34104-6114
United States |
|---|
| Phone Number : | 239-449-9882 |
|---|
| Fax Number : | 239-449-9884 |
|---|
Business Location:
Patients can refer following map for directions to
Lighthouse Pediatrics Of Naples, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.