Individual
MR. DAVID P PURPORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16329 S. TAMIAMI TRAIL, SOUTHWEST FLORIDA MEDICAL, FORT MYERS, FL 33908
(239) 949-7246
(239) 949-7236
Mailing address
16329 S. TAMIAMI TRAIL, FORT MYERS, FL 33908
(239) 949-7246
(239) 949-7236
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
017804
CT
207RH0003X
Hematology & Oncology Physician
017804
CT
207RX0202X
Medical Oncology Physician
Primary
017804
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004212932
—
CT
Enumeration date
01/17/2006
Last updated
12/28/2015
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