MEDICARE: DR. NESREEN HELMY KURTOM D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	H0062765	MD
2	208M00000X	Hospitalist Physician	OS12695	FL
3	207R00000X	Internal Medicine Physician	OS12695	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HY890N	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	IEW7S	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093861072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NESREEN HELMY KURTOM D.O.

Provider Business Mailing Address
First Line	:	350 7TH ST N
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5754
Country	:	US
Telephone Number	:	239-624-3997
Fax Number	:	239-624-8101

Provider Business Practice Location Address
First Line	:	3100 CORAL HILLS DR STE 308
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-4138
Country	:	US
Telephone Number	:	954-636-2034
Fax Number	:	954-636-3588

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	08/18/2022

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Directions to “ DR. NESREEN HELMY KURTOM D.O.” Practice Location

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