Basic Information
| Provider Information | |||||||||
| NPI: | 1093861072 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KURTOM | ||||||||
| FirstName: | NESREEN | ||||||||
| MiddleName: | HELMY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 350 7TH ST N | ||||||||
| Address2: | |||||||||
| City: | NAPLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 341025754 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2396243997 | ||||||||
| FaxNumber: | 2396248101 | ||||||||
| Practice Location | |||||||||
| Address1: | 3100 CORAL HILLS DR STE 308 | ||||||||
| Address2: | |||||||||
| City: | CORAL SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330654138 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9546362034 | ||||||||
| FaxNumber: | 9546363588 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2007 | ||||||||
| LastUpdateDate: | 08/18/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | H0062765 | MD | N | Other Service Providers | Specialist | 208M00000X | OS12695 | FL | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | OS12695 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | HY890N | 01 | FL | MEDICARE | OTHER | IEW7S | 01 | FL | BCBS | OTHER | 012920900 | 05 | FL | MEDICAID | 4081536 00 | 05 | MD | MEDICAID |