Provider Demographics
NPI:1053149310
Name:INFINITY HEALTHCARE NORTH NAPLES LLC
Entity type:Organization
Organization Name:INFINITY HEALTHCARE NORTH NAPLES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:DI CAPUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-843-7720
Mailing Address - Street 1:8890 W OAKLAND PARK BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7221
Mailing Address - Country:US
Mailing Address - Phone:954-741-3304
Mailing Address - Fax:754-222-6417
Practice Address - Street 1:3467 PINE RIDGE RD STE 102
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-3832
Practice Address - Country:US
Practice Address - Phone:239-919-6024
Practice Address - Fax:754-222-6417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty