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 1:1875 VETERANS PARK DR STE 2203
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-0596
Mailing Address - Country:US
Mailing Address - Phone:239-431-5884
Mailing Address - Fax:239-631-6907
Practice Address - Street 1:1875 VETERANS PARK DR STE 2203
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-0596
Practice Address - Country:US
Practice Address - Phone:239-431-5884
Practice Address - Fax:239-631-6907
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2024-06-14
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
FLML104Medicaid