Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Renewal Geriatric Primary Care PA

Organization Internal Medicine Physician · NPI 1831661222

Renewal Geriatric Primary Care PA is an Internal Medicine Physician in Naples, Florida. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5630 Elbow Ave
Naples, FL 34113-8395
Phone: (239) 206-0115
Fax: (239) 307-2455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1831661222
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nana Mimura — Owner · (239) 206-0115
NPI enumeratedDecember 22, 2018
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address5630 Elbow Ave, Naples, FL 34113-8395

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