Lighthouse Pediatrics Of Naples, Llc

LBN: Lighthouse Pediatrics Of Naples, Llc
Lighthouse Pediatrics Of Naples, Llc is an health care organization with primary practice located at 3227 Horseshoe Dr S , Naples FL 34104-6114. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Lighthouse Pediatrics Of Naples, Llc can be contacted via phone (239) 449-9882, or through Shepard, Debra Goodridge via phone (239) 449-9882.

Contact Information

Primary practice address
3227 Horseshoe Dr S Naples FL 34104-6114
Phone: (239) 449-9882
Fax: (239) 449-9884
Website:
Map and Directions
Authorized official contact:
Name: Shepard, Debra Goodridge Doctor of Medicine (MD)
Phone: (239) 449-9882

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME076050 Florida
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME0053566 Florida

Profile Details

NPI number 1285023309
LBN Legal business name Lighthouse Pediatrics Of Naples, Llc
DBA Doing business as
Authorized official Shepard, Debra Goodridge Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2015
Last updated Jan 13th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285023309 NPPES
Florida Other 07336 BCBS
Florida MEDICAID 254504700 BCBS
Florida Other 43843 BCBS
Florida MEDICAID 048604300 BCBS
Florida Other 1043264302 BCBS
Florida Other 1619918711 BCBS

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