Provider Demographics
NPI:1528352192
Name:DEMPSEY, JOHN ALOYSIUS III (APRN)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ALOYSIUS
Last Name:DEMPSEY
Suffix:III
Gender:M
Credentials:APRN
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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:239-343-3292
Mailing Address - Fax:239-343-3695
Practice Address - Street 1:2776 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901
Practice Address - Country:US
Practice Address - Phone:239-343-2606
Practice Address - Fax:239-343-3695
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2021-03-31
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN9186795363LF0000X, 364SE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SE0003XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistEmergency
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL008572600Medicaid