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NPI Code Detail

MEDICARE: DAVID NELSON DEPREE MD

MEDICARE: DAVID NELSON DEPREE MD
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
1207R00000XInternal Medicine PhysicianME49898FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538167838
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID NELSON DEPREE MD
Provider Business Mailing Address
First Line : 2675 WINKLER AVE
Second Line : FL 2
City : FORT MYERS
State : FL
Zip : 33901-9342
Country : US
Telephone Number : 239-931-3440
Fax Number :
Provider Business Practice Location Address
First Line : 1528 DEL PRADO BLVD S
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-3798
Country : US
Telephone Number : 239-458-3338
Fax Number : 239-458-0666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 12/20/2019

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Directions to “ DAVID NELSON DEPREE MD” Practice Location

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