Healthcare Provider Details

I. General information

NPI: 1912060195
Provider Name (Legal Business Name): DANIEL J DREW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3372 WOODS EDGE CIR STE 103
BONITA SPRINGS FL
34134-3436
US

IV. Provider business mailing address

PO BOX 112139
NAPLES FL
34108-0136
US

V. Phone/Fax

Practice location:
  • Phone: 239-598-5755
  • Fax: 239-598-2356
Mailing address:
  • Phone: 239-598-5755
  • Fax: 239-598-2356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME71611
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: