Individual
DR. NAILI DUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
9730 COMMERCE CENTER CT, FORT MYERS, FL 33908-3615
(239) 590-9190
(239) 989-0166
Mailing address
9730 COMMERCE CENTER CT, FORT MYERS, FL 33908-3615
(239) 590-9190
(239) 989-0166
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME87954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201237231
TAX ID
FL
05
—
270191000
—
FL
01
—
ME87954
LICENSE
FL
01
—
P00162627
RAILROAD MEDICARE
FL
Enumeration date
07/15/2006
Last updated
03/07/2023
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