Healthcare Provider Details

I. General information

NPI: 1699270694
Provider Name (Legal Business Name): MICHAEL M BINNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 04/24/2023
Certification Date: 04/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 9TH ST N STE 200
NAPLES FL
34102-5887
US

IV. Provider business mailing address

311 9TH ST N STE 200
NAPLES FL
34102-5887
US

V. Phone/Fax

Practice location:
  • Phone: 833-367-6942
  • Fax:
Mailing address:
  • Phone: 239-264-7200
  • Fax: 239-403-9756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberME161878
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: