OrganizationInnovation Medical Associates, PaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address350 7th St N, Naples, FL 34102-5754(239) 919-2959PECOS EnrollmentBased on the most recent information from CMS, provider Innovation Medical Associates, Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1932403607Provider TypeOrganizationFull NameInnovation Medical Associates, PaSubpartNoEnumeration Date1/10/2011Last Updated1/10/2011Contact InformationPractice LocationPractice Address350 7th St N, Naples, FL 34102-5754Phone(239) 919-2959FaxUnlisted FaxMailing LocationMailing Address16018 Via Solera Cir, Apt 105, Fort Myers, FL 33908-3774Phone(239) 919-2959FaxUnlisted FaxAuthorized OfficialNameSultan, Ali A (President)Phone(239) 919-2959Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME96258Florida