MICHAEL PATRICK DURHAM


Address: 17501 Wells Rd, North Fort Myers, FL 33917-2108
Phone: 5022878731

MICHAEL PATRICK DURHAM (NPI# 1760092605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760092605
Entity Type Individual
Full Name MICHAEL PATRICK DURHAM
Credential APRN
Practice Address 17501 Wells Rd
North Fort Myers
FL 33917-2108
Practice Telephone 5022878731
Mailing Telephone 5022878731
Enumeration Date 2020-08-05
Last Update Date 2020-08-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
11008498 FL Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 17501 WELLS RD
City NORTH FORT MYERS
State FL
Zip Code 33917-2108

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NPI Name Taxonomy Address Enumeration
1508423070 Lisa Marie Ortiz-rivera Registered Nurse 15150 Piping Plover Ct 103, North Fort Myers, FL 33917 2019-05-21
1407124571 Lorne Kevin Howell Custodial Care Facility 6410 Pga Drive, North Fort Myers, FL 33917 2011-12-05
1124267026 Mary Christine Gatens Social Worker 2108 Lakeville, Fort Myers, FL 33917 2009-02-17
1417143496 Pine Island Chiropractic Inc Chiropractor 5781 Bayshore Road, #103, North Fort Myers, FL 33917 2007-09-24
1427030253 Florida Preferred Care Developmental Centers I, Inc. Intermediate Care Facility, Mentally Retarded 2975 Garden St, N Ft Myers, FL 33917-1883 2005-11-17
1043323934 Florida Preferred Care Developmental Centers I, Inc Intermediate Care Facility, Mentally Retarded 2975 Garden St, North Fort Myers, FL 33917-1883 2006-08-16
1174138176 Claudia Rodriguez Massage Therapist 7728 Mcdaniel Dr, North Fort Myers, FL 33917-1930 2020-09-15
1043596521 Kim Theresa Traugott Veterinarian 17740 Sabal Palm Dr, North Fort Myers, FL 33917-2219 2011-10-27
1336687573 Luke Balkun Behavior Technician 2262 Westwood Rd, N Fort Myers, FL 33917-2536 2017-02-08
1659741825 Amy Muniz Registered Nurse 2331 Westwood Rd, North Fort Myers, FL 33917-2537 2015-10-01
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City NORTH FORT MYERS
Zip Code 33917

Improve Information

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Dataset Information

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.

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