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FRESH START PRIVATE FLORIDA
NPI 1003166307
Clinic/Center - Rehabilitation, Substance Use Disorder in Naples, FL

Active since September 13, 2012
1415 PANTHER LN, NAPLES, FL 34109(239) 591-6240 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fresh Start Private Florida NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESH START PRIVATE FLORIDA (NPI 1003166307) is a healthcare organization registered as a rehabilitation, substance use disorder in Naples, Florida and active in the NPI registry since September 2012. The organization lists Timothy Jon Jackoboice, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003166307
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameFRESH START PRIVATE FLORIDA
Location Address1415 PANTHER LNNaples, FL 34109-7874
Mailing Address1415 Panther LnNaples, FL 34109-7874 · (239) 591-6240
Phone(239) 591-6240
Organization SubpartNo
Authorized OfficialTimothy Jon JackoboiceCeo · (239) 591-6240
Enumeration DateSeptember 13, 2012
✔ NPI 1003166307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1415 PANTHER LN, Naples, FL 34109
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN W SALDUKAS PHD
Psychologist
1415 PANTHER LN, #142
NAPLES, FL 34109
Collier County (239) 293-0230
KENT CHRISTIAN FENNER
Hearing Instrument Specialist
1415 PANTHER LN
NAPLES, FL 34109
Collier County (239) 591-6604
JAN ICE MSW LCSW P A
Social Worker (Clinical)
1415 PANTHER LN, SUITE 215
NAPLES, FL 34109
Collier County (239) 591-6626
BEHAVIORAL HEALTH SERVICES LCSW LLC
Social Worker (Clinical)
1415 PANTHER LN, UNIT 142
NAPLES, FL 34109
Collier County (239) 810-3998
COGNIZANT HEALTH LLC
Psychiatry & Neurology (Psychiatry)
1415 PANTHER LN
NAPLES, FL 34109
Collier County (239) 404-3379
RALPH S RYBACK MD LLC
Clinical Neuropsychologist
1415 PANTHER LN, STE 248
NAPLES, FL 34109
Collier County (239) 213-0012
ROYA GHADIMI, M.D., P.A.
Psychologist (Prescribing (Medical))
1415 PANTHER LN, SUITE 322
NAPLES, FL 34109
Collier County (239) 593-6120
STEVEN W SALDUKAS PHD PA
Psychologist
1415 PANTHER LN, SUITE #142
NAPLES, FL 34109
Collier County (239) 293-0230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fresh Start Private Florida's NPI number?

The NPI number for Fresh Start Private Florida is 1003166307. It was assigned to this organization in the NPPES registry on September 13, 2012.

Where is Fresh Start Private Florida located?

Fresh Start Private Florida is located at 1415 Panther Ln, Naples, FL 34109. The listed phone number is (239) 591-6240.

What is Fresh Start Private Florida's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Fresh Start Private Florida was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.