Paradise Coast Medical Group LLC

NPI #1033898309 in Naples, Florida

Provider Information

NPI Number: 1033898309
Entity Type: Organization
Organization Name: Paradise Coast Medical Group LLC
Primary Specialty: General Practice
Enumeration Date: Jul 14, 2023
Last Updated: Jul 14, 2023

Practice Location

Address: 10979 LOST LAKE DR APT 221
City: Naples
State: Florida
ZIP Code: 34105-3169
Phone: (561) 662-4050

Authorized Official

Name: JASON RICHICHI
Title: EXECUTIVE DIRECTOR
Phone: (843) 749-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Preventive Medicine - Public Health & General Preventive Medicine — Public Health & General Preventive Medicine	2083P0901X
General Practice	208D00000X	Primary

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