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Contact Information

LIGHTHOUSE PEDIATRICS OF NAPLES, LLC
3227 HORSESHOE DR S
NAPLES, FL34104-6114
 Phone: 239-449-9882
 Fax: 239-449-9884
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LIGHTHOUSE PEDIATRICS OF NAPLES, LLC

NPI # 1285023309
LBN Legal business name LIGHTHOUSE PEDIATRICS OF NAPLES, LLC
Authorized official DEBRA SHEPARD - (DOCTOR/PRACTICE CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/13/2015
Last updated 01/13/2015 - About 11 years ago
Identifiers
FL License # ME0053566
FL License # ME076050
FL Medicaid 048604300
FL Medicaid 254504700
Other 1043264302 INDIVIDUAL NPI
Other 1619918711 INDIVIDUAL NPI
FL Other 07336 BCBS
FL Other 43843 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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