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Individual

DR. EDWARD JAMES JURKOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
16410 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908-9621
(239) 343-6202
(239) 437-8537
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6202
(239) 437-8537

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS16255
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036085033
IL
05
104146500
FL
Enumeration date
07/19/2005
Last updated
03/29/2021
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