Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mary Magno Mouracade, MD

Individual provider Nephrology Physician · NPI 1194776989

Dr. Mary Magno Mouracade, MD is a Nephrology in Fort Myers, Florida. Qualified in 1992, 34 years ago. Practices with Associates in Nephrology Butcher and Devacaanthan MD PA, a 22-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
34
Licensed in
FL
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

14560 Hope Center Loop
Fort Myers, FL 33912-4711
Phone: (239) 939-0999
Fax: (239) 939-1070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9550 Bonita Beach Rd Se Ste 108, Bonita Springs, FL 34135-4771 — (239) 939-0999
  • 1320 Se 8th St, Cape Coral, FL 33990-2952 — (239) 939-0999

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence ME65887 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME65887 (FL)
Addiction Medicine (Internal Medicine) Physician Taxonomy 207RA0401X · Licence ME65887 (FL)

Record details

NPI number1194776989
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Associates In Nephrology Butcher And Devacaanthan Md Pa — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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