Healthcare Provider Details

I. General information

NPI: 1891639670
Provider Name (Legal Business Name): BRUCE NAKFOOR
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 9TH ST N STE 300
NAPLES FL
34102-5887
US

IV. Provider business mailing address

311 9TH ST N STE 300
NAPLES FL
34102-5887
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-0940
  • Fax: 239-624-0941
Mailing address:
  • Phone: 239-624-0940
  • Fax: 239-624-0941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
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: