Dura Medical Llc | |
1575 Pine Ridge Rd Ste 16 Naples FL 34109-2110 | |
(239) 494-2346 | |
Not Available |
Full Name | Dura Medical Llc |
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Speciality | Clinic/Center |
Location | 1575 Pine Ridge Rd Ste 16, Naples, Florida |
Authorized Official Name and Position | Stephen E Durand (OWNER) |
Authorized Official Contact | 2394942346 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dura Medical Llc 1575 Pine Ridge Rd Ste 16 Naples FL 34109-2110 Ph: (239) 494-2346 | Dura Medical Llc 1575 Pine Ridge Rd Ste 16 Naples FL 34109-2110 Ph: (239) 494-2346 |
NPI Number | 1467924829 |
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Provider Enumeration Date | 12/26/2018 |
Last Update Date | 04/16/2021 |
Medicare PECOS PAC ID | 1254672272 |
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Medicare Enrollment ID | O20190401000727 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467924829 | NPI | - | NPPES |
208124900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Ralph Ryback |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831146141 PECOS PAC ID: 2860439627 Enrollment ID: I20050413000345 |
Provider Name | Thomas G Sokol |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639203581 PECOS PAC ID: 8224073176 Enrollment ID: I20050622000409 |
Provider Name | Richard J. Capiola |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1124146055 PECOS PAC ID: 7517983877 Enrollment ID: I20051017000753 |
Provider Name | Stephen E Durand |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1265584411 PECOS PAC ID: 1153427521 Enrollment ID: I20070501000298 |
Provider Name | Robert W Pollack |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1588816771 PECOS PAC ID: 3476600263 Enrollment ID: I20090414000282 |
Provider Name | Haleh Tabrah |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083640353 PECOS PAC ID: 9133272750 Enrollment ID: I20090729000836 |
Provider Name | Sarah Mcgregor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164823043 PECOS PAC ID: 7214157338 Enrollment ID: I20141013000505 |
Provider Name | Cara Leigh Nixon |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1811232309 PECOS PAC ID: 4284856469 Enrollment ID: I20141107000466 |
Provider Name | Angela M Sterious |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952717415 PECOS PAC ID: 3375865249 Enrollment ID: I20141203001510 |
Provider Name | Shelley Tressa Butler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033502513 PECOS PAC ID: 8022320589 Enrollment ID: I20150713000279 |
Provider Name | Kathryn Hart |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063898906 PECOS PAC ID: 2668788340 Enrollment ID: I20150825005509 |
Provider Name | Marcela Alvarez-lazo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477095305 PECOS PAC ID: 4183992779 Enrollment ID: I20170623000603 |
Provider Name | Melanie Orben |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669982377 PECOS PAC ID: 5496015950 Enrollment ID: I20180201002756 |
Provider Name | John C Leach |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1386902856 PECOS PAC ID: 2163748773 Enrollment ID: I20190401001579 |
Provider Name | Elizabeth M Carroll Attella |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205492261 PECOS PAC ID: 2062747488 Enrollment ID: I20190708002103 |
Provider Name | Elizabeth A Kisenishsky |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891296315 PECOS PAC ID: 9436493798 Enrollment ID: I20200710000671 |
Provider Name | Robin Mansolino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326546755 PECOS PAC ID: 8224393715 Enrollment ID: I20220115000154 |
Provider Name | Kylee J Dalton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568170116 PECOS PAC ID: 7618340324 Enrollment ID: I20230228001881 |
Provider Name | Joseph R Fleschner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215620778 PECOS PAC ID: 8628439429 Enrollment ID: I20230726001689 |
Provider Name | Dale A Block |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1790963213 PECOS PAC ID: 0446691620 Enrollment ID: I20240520000717 |
Provider Name | Carrie B Jenkins |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1598404956 PECOS PAC ID: 1355783564 Enrollment ID: I20240520002140 |
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