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Individual

CLAUDE DEGRAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15051 SHELL POINT BLVD, FORT MYERS, FL 33908-1639
(239) 454-2230
(239) 454-2111
Mailing address
15000 SHELL POINT BLVD, SUITE 100, FORT MYERS, FL 33908-1657
(239) 454-2146
(239) 454-2111

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME72922
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
087535000
FL
05
253279400
FL
Enumeration date
01/23/2006
Last updated
04/03/2013
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