MR. DAVID P PURPORA (NPI# 1720067846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720067846 |
| Entity Type | Individual |
| Full Name | MR. DAVID P PURPORA |
| Credential | MD |
| Practice Address |
16329 S. Tamiami Trail Southwest Florida Medical Fort Myers FL 33908 |
| Mailing Address |
16329 S. Tamiami Trail Fort Myers FL 33908 |
| Practice Telephone | 2399497246 |
| Practice Fax Number | 2399497236 |
| Mailing Telephone | 2399497246 |
| Mailing Fax Number | 2399497236 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2015-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 017804 | CT | Other Service Providers |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
017804 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
017804 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004212932 | 05 |
| Street Address |
16329 S. TAMIAMI TRAIL SOUTHWEST FLORIDA MEDICAL |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053360420 | William Hayes Wyttenbach | Anesthesiology | 16329 S. Tamiami Trail, Fort Myers, FL 33908 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528211752 | Associates In Cancer Care Pa | Internal Medicine | 13685 Doctors Way, Suite 140, Fort Myers, FL 33912-4336 | 2008-10-31 |
| 1518156959 | Venkata Krishna Jayanth Parsa | Internal Medicine | 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905 | 2007-10-22 |
| 1699986190 | Luiz Otavio Pita De Oliveira | Internal Medicine | 8925 Colonial Center Dr Ste 2001, Fort Myers, FL 33905 | 2007-05-25 |
| 1881770659 | Van G Rana | Internal Medicine | 3840 Broadway, Fort Myers, FL 33901-8108 | 2006-10-27 |
| 1225064520 | Florida Cancer Specialists P L | Internal Medicine | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079648 | The Oncology Institute Fl, LLC | Internal Medicine | 2105 W Watrous Ave, Tampa, FL 33606-3046 | 2020-09-23 |
| 1821626383 | Tampa General Medical Group Inc | Internal Medicine | 17416 Brookside Trace Ct, Tampa, FL 33647-3589 | 2020-03-31 |
| 1770143752 | Raul Vera-gimon | Internal Medicine | 10730 Nw 66th St Apt 312, Doral, FL 33178-3708 | 2019-06-20 |
| 1740748706 | 21st Century Oncology LLC | Internal Medicine | 3651 Fau Blvd Ste 100, Boca Raton, FL 33431-6489 | 2019-03-08 |
| 1699243501 | Jose Armando Villamil | Internal Medicine | 8356 Sw 40th St Ste J, Miami, FL 33155-3356 | 2018-11-08 |
| 1790287878 | South Florida Cancer Institute | Internal Medicine | 1005 Marina Mile Blvd, Fort Lauderdale, FL 33315-2433 | 2018-03-05 |
| 1912350596 | Gilberto Lopes | Internal Medicine | 8345 Nw 66th St # 9886, Miami, FL 33195-2696 | 2016-07-19 |
| 1013382399 | Neil Howard Love | Internal Medicine | 2 S Biscayne Blvd, Ste 3600, Miami, FL 33131-1806 | 2015-12-11 |
| 1790115681 | Calvin Collins Jr. | Internal Medicine | 4403 Vineland Rd, Suite B5, Orlando, FL 32811 | 2013-11-14 |
| 1275895047 | Ira D Stein | Internal Medicine | 19 Jewfish Ave, Key Largo, FL 33037-4711 | 2012-06-08 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.