Individual
MARCELA NUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9981 S HEALTHPARK DR STE 454, FORT MYERS, FL 33908-3618
(239) 343-9710
(239) 343-9715
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9710
(239) 343-9715
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME85598
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102634600
—
FL
Enumeration date
09/03/2008
Last updated
01/16/2024
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