Healthcare Provider Details

I. General information

NPI: 1265353601
Provider Name (Legal Business Name): NEXTERA HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CORPORATE LAKE DR
COLUMBIA MO
65203-7172
US

IV. Provider business mailing address

200 CORPORATE LAKE DR
COLUMBIA MO
65203-7172
US

V. Phone/Fax

Practice location:
  • Phone: 573-814-1170
  • Fax:
Mailing address:
  • Phone: 573-814-1170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE CULJAT
Title or Position: MEDICAL SUPPORT DIRECTOR
Credential:
Phone: 303-501-2600