MEDICARE: DR. MICHAEL DOYLE COURTNEY 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
1	208VP0014X	Interventional Pain Medicine Physician	ME67353	FL
2	207LA0401X	Addiction Medicine (Anesthesiology) Physician	ME67353	FL
3	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	ME67353	FL
4	208VP0000X	Pain Medicine Physician	ME67353	FL
5	207LP2900X	Pain Medicine (Anesthesiology) Physician	ME67353	FL
6	207LH0002X	Hospice and Palliative Medicine (Anesthesiology) Physician	ME67353	FL
7	207L00000X	Anesthesiology Physician	ME67353	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1700976578	OTHER	FL	BROOKSVILLE PAIN MANAGEMENT CLINIC
2	XC4126389	OTHER	FL	SUBOXONE

General Provider Information

NPI Number	:	1902884679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL DOYLE COURTNEY MD

Provider Business Mailing Address
First Line	:	5467 COMMERCIAL WAY
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-1110
Country	:	US
Telephone Number	:	352-597-7111
Fax Number	:	352-597-7171

Provider Business Practice Location Address
First Line	:	5467 COMMERCIAL WAY
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-1110
Country	:	US
Telephone Number	:	352-597-7111
Fax Number	:	352-597-7171

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

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	03/07/2023

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Directions to “ DR. MICHAEL DOYLE COURTNEY MD” Practice Location

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