Individual
SUNIL PAMMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13782 PLANTATION RD, BUILDING 4, SUITE 201, FORT MYERS, FL 33912-4462
(239) 343-1105
(239) 343-1106
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1105
(239) 343-1106
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME94370
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME94370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274034600
—
FL
01
—
30771
BCBS
FL
01
—
P00292827
RAILROAD MEDICARE
FL
Enumeration date
05/01/2006
Last updated
03/29/2021
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