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Organization
INNOVATION MEDICAL ASSOCIATES, PA
Active
Organization
INNOVATION MEDICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI A SULTAN M.D (PRESIDENT)
(239) 919-2959
Entity
Organization
Contact information
Practice address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 919-2959
Mailing address
16018 VIA SOLERA CIR, APT 105, FORT MYERS, FL 33908-3774
(239) 919-2959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME96258
FL
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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