Provider Demographics
NPI:1396088324
Name:PFITZINGER, DUKE MICHAEL JR (DO)
Entity type:Individual
Prefix:DR
First Name:DUKE
Middle Name:MICHAEL
Last Name:PFITZINGER
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2147
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33902-2147
Mailing Address - Country:US
Mailing Address - Phone:239-343-3780
Mailing Address - Fax:239-343-3781
Practice Address - Street 1:12700 CREEKSIDE LN STE 301
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-3356
Practice Address - Country:US
Practice Address - Phone:239-343-3780
Practice Address - Fax:239-343-3781
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS166532086S0129X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109448100Medicaid
FLML104Medicaid