MEDICARE: MR. JOHN MCCUE ARNP

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	363L00000X	Nurse Practitioner	ARNP9205590	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ARNP9205590	OTHER	FL	NURSE PRACTITIONER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831135060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN MCCUE ARNP

Provider Business Mailing Address
First Line	:	13300 S CLEVELAND AVE
Second Line	:	56 206
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3886
Country	:	US
Telephone Number	:	239-292-3871
Fax Number	:

Provider Business Practice Location Address
First Line	:	13300 S CLEVELAND AVE
Second Line	:	56 206
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3886
Country	:	US
Telephone Number	:	239-292-3871
Fax Number	:

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	10/09/2014

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Directions to “ MR. JOHN MCCUE ARNP” Practice Location

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