Provider Demographics
NPI:1093861072
Name:KURTOM, NESREEN HELMY (DO)
Entity Type:Individual
Prefix:DR
First Name:NESREEN
Middle Name:HELMY
Last Name:KURTOM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 7TH ST N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5754
Mailing Address - Country:US
Mailing Address - Phone:239-624-3997
Mailing Address - Fax:239-624-8101
Practice Address - Street 1:3100 CORAL HILLS DR STE 308
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4138
Practice Address - Country:US
Practice Address - Phone:954-636-2034
Practice Address - Fax:954-636-3588
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0062765174400000X
FLOS12695208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHY890NOtherMEDICARE
FLIEW7SOtherBCBS
FL012920900Medicaid
MD4081536 00Medicaid
FLHY890NOtherMEDICARE