Individual
PHILIP ASHLEY PURSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6310 HEALTH PARK WAY, SUITE 100, LAKEWOOD RANCH, FL 34202-5177
(941) 373-6534
(941) 373-6532
Mailing address
2234 COLONIAL BLVD, ATT: MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
60-208761
NY
2085R0001X
Radiation Oncology Physician
Primary
ME101061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261114700
—
FL
05
—
4614188
—
MI
Enumeration date
04/19/2006
Last updated
10/30/2009
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