Provider Demographics
NPI:1134128267
Name:KURZER, ELIECER (MD)
Entity Type:Individual
Prefix:
First Name:ELIECER
Middle Name:
Last Name:KURZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: MANAGED CARE DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:1951 SW 172ND AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-5593
Practice Address - Country:US
Practice Address - Phone:954-499-7696
Practice Address - Fax:954-499-7699
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90438208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL16544OtherBLUE CROSS BLUE SHIELD
FL001108300Medicaid
FL69214OtherHEALTH SUN HELATH PLAN
FL7288732OtherAETNA
FL773705OtherNEIGHBORHOOD HEALTH PLANS
FLM094361OtherPREFERRED MEDICAL PLAN
FLM904363OtherPREFERRED MEDICAL PLAN
FLP00956382OtherRAILROAD MEDICARE
FL20785OtherMEDICA
FLSG078983OtherVISTA
FL0180857OtherGHI
FL1193334OtherWELLCARE
FL298815OtherAVMED
FL5857749OtherCIGNA
FLP0003163OtherFLORIDA HEALTHCARE PLUS
FLQMP000003669171OtherMOLINA
FLP01706586OtherSIMPLY HEALTHCARE
FLU5007VMedicare PIN
FLP00956382OtherRAILROAD MEDICARE
FL16544OtherBLUE CROSS BLUE SHIELD