Individual
KURT MUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
636 DEL PRADO BLVD S, 1030, CAPE CORAL, FL 33990-2668
(239) 424-3513
(239) 424-4039
Mailing address
1210 SE 37TH LN, CAPE CORAL, FL 33904-4770
(239) 424-3513
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34007419
OH
207P00000X
Emergency Medicine Physician
Primary
OS12683
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013796800
—
FL
05
—
2233756
—
OH
01
—
942460636274
CARESOURCE
OH
01
—
P00194274
MEDICARE RR-GA
OH
Enumeration date
06/09/2006
Last updated
03/13/2015
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