Individual
MICHAEL PATRICK DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
17501 WELLS RD, NORTH FORT MYERS, FL 33917-2108
(502) 287-8731
Mailing address
17501 WELLS RD, NORTH FORT MYERS, FL 33917-2108
(502) 287-8731
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11008498
FL
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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