OrganizationActive
Fresh Start Private Florida
NPI 1003166307 · Substance Use Disorder Rehabilitation Clinic/Center · Naples, FL
Provider details
- NPI number
- 1003166307
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Jackoboice, Ceo(239) 591-6240
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1415 Panther Ln
Naples, FL 34109-7874
Phone: (239) 591-6240
Street-level locationGet directions
Mailing address
1415 Panther Ln
Naples, FL 34109-7874
Registry dates
- Enumerated
- 2012-09-13
- Last updated
- 2012-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.