Individual
DR. BRUCE M. NAKFOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8625 COLLIER BLVD STE 102, NAPLES, FL 34114-3550
(239) 429-0100
(239) 241-8209
Mailing address
340 COLONY DR, NAPLES, FL 34108-8798
(239) 470-4048
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME0070717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00790
UNV. HLTH CR. PROVIDER #
FL
01
—
16857
WELLCARE-MEDICAID/MEDICARE
FL
01
—
207227
AMERIGROUP GROUP #
FL
01
—
211577
AVMED PROVIDER NUMBER
FL
01
—
24-05763
UTD. HLTHCR. PROVIDER #
FL
05
—
250234800
—
FL
01
—
2951592-019
CIGNA PROVIDER NUMBER
FL
01
—
5819288
AETNA PROVIDER #
FL
01
—
67147
OP. ENG. LOC. 825 PROV. #
FL
01
—
8226
AVMED PIN NUMBER
FL
Enumeration date
05/24/2005
Last updated
04/22/2022
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