Ancuram LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ANCURAM LLC

Practice address

10700 Stringfellow Rd Ste 50
Bokeelia, FL 33922-3232

Phone

(833) 742-6276

Fax

(833) 450-0911

NPI assigned

Feb 1, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel Lee Wilburn HanleyNPI 1407268600

Title

Member

Phone

(833) 742-6276

Specialties & licenses 2

Addresses

Other names 1

• Ancuram Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Lee Wilburn Hanley, M.D.

  • Family Medicine Physician
  • Bokeelia, FL
  • NPI 1407268600
  Medicare reassignment Care Compare group NPD Authorized official
• Alisha Marie Hatch, ARNP-BC

  • Family Nurse Practitioner
  • Bokeelia, FL
  • NPI 1235992330
  Medicare reassignment Care Compare group NPD
• Daniel Joseph Hyatt, APRN, FNP-BC

  • Family Nurse Practitioner
  • Bokeelia, FL
  • NPI 1013709302
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1043775232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 SW 30TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339142000",
            "telephone_number": "833-742-6276",
            "fax_number": "833-450-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 STRINGFELLOW RD STE 50",
            "city": "BOKEELIA",
            "state": "FL",
            "postal_code": "339223232",
            "telephone_number": "833-742-6276",
            "fax_number": "833-450-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2838 SW 30th St",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339142000",
            "country_code": "US",
            "telephone_number": "833-742-6276",
            "fax_number": "833-450-0911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANCURAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LEE WILBURN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "833-742-6276",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ancuram Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Bokeelia, FL
• Providers in Bokeelia, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.