Healthcare Provider Details

I. General information

NPI: 1902884679
Provider Name (Legal Business Name): MICHAEL DOYLE COURTNEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26206 WILLOW ST
BROOKSVILLE FL
34601-4731
US

IV. Provider business mailing address

26206 WILLOW ST
BROOKSVILLE FL
34601-4731
US

V. Phone/Fax

Practice location:
  • Phone: 352-659-6738
  • Fax: 352-606-5765
Mailing address:
  • Phone: 352-659-6738
  • Fax: 352-606-5765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberME67353
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberME67353
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207LH0002X
TaxonomyHospice and Palliative Medicine (Anesthesiology) Physician
License NumberME67353
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME67353
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberME67353
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME67353
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberME67353
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License NumberME67353
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: