Individual
DAVID W NESSELROADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15051 SHELL POINT BLVD, FORT MYERS, FL 33908-1639
(239) 454-2146
(239) 454-2111
Mailing address
15051 SHELL POINT BLVD, FORT MYERS, FL 33908-1639
(239) 454-2146
(239) 454-2111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME49101
FL
Other
Enumeration date
11/15/2006
Last updated
02/21/2011
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