MEDICARE: DR. BRUCE M. NAKFOOR MD

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	ME0070717	FL

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	16857	OTHER	FL	WELLCARE-MEDICAID/MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00790	OTHER	FL	UNV. HLTH CR. PROVIDER #
2	207227	OTHER	FL	AMERIGROUP GROUP #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	67147	OTHER	FL	OP. ENG. LOC. 825 PROV. #
5	211577	OTHER	FL	AVMED PROVIDER NUMBER
6	2951592-019	OTHER	FL	CIGNA PROVIDER NUMBER
7	24-05763	OTHER	FL	UTD. HLTHCR. PROVIDER #
9	8226	OTHER	FL	AVMED PIN NUMBER
10	5819288	OTHER	FL	AETNA PROVIDER #
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1780687608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRUCE M. NAKFOOR MD

Provider Business Mailing Address
First Line	:	340 COLONY DR
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34108-8798
Country	:	US
Telephone Number	:	239-470-4048
Fax Number	:

Provider Business Practice Location Address
First Line	:	8625 COLLIER BLVD STE 102
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34114-3550
Country	:	US
Telephone Number	:	239-429-0100
Fax Number	:	239-241-8209

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	04/22/2022

8625 COLLIER BLVD STE 102
NAPLES, FL
34114-3550

Practice Phone: 239-429-0100
Practice Fax: 239-421-8209