# FORT MYERS INTERNAL MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346588621
- **Authorized official:** ROBERT HADDAD MD (OWNER)
- **Authorized official phone:** (239) 225-1306

## Contact information

- **Practice address:** 13861 PLANTATION RD UNIT 104, FT MYERS, FL 33912
- **Practice address phone:** (239) 225-1306
- **Practice address fax:** (239) 768-1313
- **Mailing address:** 13861 PLANTATION RD UNIT 104, FT MYERS, FL 33912
- **Mailing address phone:** (239) 225-1306
- **Mailing address fax:** (239) 768-1313

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME106006 | FL | Yes |

## Other

- **Enumeration date:** 01/22/2013
- **Last updated:** 07/21/2022