Healthcare Provider Details

I. General information

NPI: 1932196029
Provider Name (Legal Business Name): CRAIG MACARTHUR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 06/27/2024
Certification Date: 06/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22655 BAYSHORE RD STE 110
PORT CHARLOTTE FL
33980-2005
US

IV. Provider business mailing address

PO BOX 2147
FT MYERS FL
33902-2147
US

V. Phone/Fax

Practice location:
  • Phone: 941-235-4900
  • Fax: 941-235-4901
Mailing address:
  • Phone: 239-343-5333
  • Fax: 239-343-5321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberME079195
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberME0079195
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: