| Dura Medical Llc | |
|
1575 Pine Ridge Rd Ste 16 Naples FL 34109-2110 | |
| (239) 494-2346 | |
| Not Available |
| Full Name | Dura Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1575 Pine Ridge Rd Ste 16, Naples, Florida |
| Authorized Official Name and Position | Stephen E Durand (OWNER) |
| Authorized Official Contact | 2394942346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dura Medical Llc 1575 Pine Ridge Rd Ste 16 Naples FL 34109-2110 Ph: (239) 494-2346 | Dura Medical Llc 1575 Pine Ridge Rd Ste 16 Naples FL 34109-2110 Ph: (239) 494-2346 |
| NPI Number | 1467924829 |
|---|---|
| Provider Enumeration Date | 12/26/2018 |
| Last Update Date | 04/16/2021 |
| Medicare PECOS PAC ID | 1254672272 |
|---|---|
| Medicare Enrollment ID | O20190401000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467924829 | NPI | - | NPPES |
| 208124900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Ralph Ryback |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831146141 PECOS PAC ID: 2860439627 Enrollment ID: I20050413000345 |
| Provider Name | Thomas G Sokol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639203581 PECOS PAC ID: 8224073176 Enrollment ID: I20050622000409 |
| Provider Name | Richard J. Capiola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124146055 PECOS PAC ID: 7517983877 Enrollment ID: I20051017000753 |
| Provider Name | Stephen E Durand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265584411 PECOS PAC ID: 1153427521 Enrollment ID: I20070501000298 |
| Provider Name | Robert W Pollack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588816771 PECOS PAC ID: 3476600263 Enrollment ID: I20090414000282 |
| Provider Name | Haleh Tabrah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083640353 PECOS PAC ID: 9133272750 Enrollment ID: I20090729000836 |
| Provider Name | Sarah Mcgregor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164823043 PECOS PAC ID: 7214157338 Enrollment ID: I20141013000505 |
| Provider Name | Cara Leigh Nixon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811232309 PECOS PAC ID: 4284856469 Enrollment ID: I20141107000466 |
| Provider Name | Angela M Sterious |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952717415 PECOS PAC ID: 3375865249 Enrollment ID: I20141203001510 |
| Provider Name | Shelley Tressa Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033502513 PECOS PAC ID: 8022320589 Enrollment ID: I20150713000279 |
| Provider Name | Kathryn Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063898906 PECOS PAC ID: 2668788340 Enrollment ID: I20150825005509 |
| Provider Name | Marcela Alvarez-lazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477095305 PECOS PAC ID: 4183992779 Enrollment ID: I20170623000603 |
| Provider Name | Melanie Orben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669982377 PECOS PAC ID: 5496015950 Enrollment ID: I20180201002756 |
| Provider Name | John C Leach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386902856 PECOS PAC ID: 2163748773 Enrollment ID: I20190401001579 |
| Provider Name | Elizabeth M Carroll Attella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205492261 PECOS PAC ID: 2062747488 Enrollment ID: I20190708002103 |
| Provider Name | Elizabeth A Kisenishsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891296315 PECOS PAC ID: 9436493798 Enrollment ID: I20200710000671 |
| Provider Name | Robin Mansolino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326546755 PECOS PAC ID: 8224393715 Enrollment ID: I20220115000154 |
| Provider Name | Kylee J Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568170116 PECOS PAC ID: 7618340324 Enrollment ID: I20230228001881 |
| Provider Name | Joseph R Fleschner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215620778 PECOS PAC ID: 8628439429 Enrollment ID: I20230726001689 |
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