Imtiaz Ahmad MD

NPI 1174521009 - Internal Medicine - 207RS0012X

NPI Details
NPI 1174521009
Gender Male
Enumeration Date 07/13/2005
Last Updated 06/30/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
16420 HEALTHPARK COMMONS DR
SUITE 100
FORT MYERS FL, 33908-9621, US
Phone (239) 437-6670
Fax (239) 437-8871
Business Location
2234 COLONIAL BLVD
ATTN: PAYER CONTRACTING & RELATIONS DEPT.
FORT MYERS FL, 33907-1412, US
Phone (239) 931-7342
Fax (239) 931-7385
Toxanomy
Taxonomy Code 207RS0012X
License State Florida
License Number ME76783
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According to our database, Imtiaz Ahmad MD NPI is 1174521009, taxonomy code is 207RS0012X and license number is ME76783, license state is located at Florida. Imtiaz Ahmad MD physically located at 16420 Healthpark Commons Dr, Fort Myers FL, 33908-9621. NPI Number Imtiaz Ahmad MD has the Individual type.

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1174521009 NPI number is provided on an as is basis without warranty of any kind. 1174521009 is maintained by the National Plan & Provider Enumeration System. The contents of Imtiaz Ahmad MD are for informational purposes only.