Organization
ASSOCIATES IN NEPHROLOGY BUTCHER & DEVACAANTHAN MD PA
Active
Other names
Associates in Nephrology Butcher, Caanthan & Delans MD PA, Associates in Nephrology
Organization subpart
No
Provider details
NPI number
Authorized official
MARY M MOURACADE MD (MD)
(239) 939-0999
Entity
Organization
Contact information
Practice address
7981 GLADIOLUS DR., FORT MYERS, FL 33908-4154
(239) 939-0999
(239) 939-1070
Mailing address
7981 GLADIOLUS DR, FORT MYERS, FL 33908-4154
(239) 939-0999
(239) 939-1070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4680129492717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060544100
—
FL
Enumeration date
05/15/2006
Last updated
11/11/2022
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