Individual
MITKO MITOV BADOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9981 S HEALTHPARK DR, SUITE 159, FORT MYERS, FL 33908
(239) 343-2052
(239) 424-1421
Mailing address
P.O. BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME 91488
FL
208M00000X
Hospitalist Physician
Primary
ME91488
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000820900
—
FL
05
—
2721431 00
—
FL
01
—
30021
BCBSFL
FL
Enumeration date
12/01/2005
Last updated
03/24/2021
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