# FORT MYERS PRIMARY CARE AND WELLNESS LLC

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

## Provider details

- **NPI number:** 1760164800
- **Authorized official:** KHALID SABHA (OWNER)
- **Authorized official phone:** (239) 922-0909

## Contact information

- **Practice address:** 14131 METROPOLIS AVE STE 105, FORT MYERS, FL 33912-4455
- **Practice address phone:** (239) 922-0909
- **Mailing address:** 14131 METROPOLIS AVE STE 105, FORT MYERS, FL 33912-4455
- **Mailing address phone:** (239) 922-0909
- **Mailing address fax:** (833) 428-3598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2023
- **Last updated:** 09/22/2026
