Duxana Medical Center Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DUXANA MEDICAL CENTER CORP

Practice address

5248 Red Cedar Dr Ste 102
Fort Myers, FL 33907-4522

Phone

(239) 208-2790

NPI assigned

Dec 16, 2019

Organization subpart

No

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

Authorized official

Name

Farid Mustafa

Title

Partner Owner

Phone

(239) 208-2790

Specialties & licenses 1

Addresses

Other names 1

• Integrated Care Centers Doing business as

Locations

Practitioners 1

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

• Russell Weintraub, MD

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1760440630
  NPD (past)

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1922646306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5248 RED CEDAR DR STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5248 RED CEDAR DR STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339074522",
            "telephone_number": "239-208-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUXANA MEDICAL CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "MUSTAFA",
        "authorized_official_first_name": "FARID",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "239-208-2790"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Care Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Robert Dushack III, DPM
• John J Dusseau, M.D.
• Derick Allen Duston, LMHC
• Melissa Mae Duston, DDS
• Denise Dutchak-Parmenter, M.D.
• Dva Healthcare Renal Care Inc
• Dva Healthcare Renal Care Inc
• Lauren Dvorak
• Dwic of Tampa Bay, Inc
• Brendan Mark Dwyer, DDS

• General Practice Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.