Organization
GULF COAST INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANZEEN AHMED (OWNER)
(239) 986-0259
Entity
Organization
Contact information
Practice address
14131 METROPOLIS AVENUE, SUITE 106, FORT MYERS, FL 33912-9383
(239) 561-8880
(239) 561-8890
Mailing address
PO BOX 6038, FORT MYERS, FL 33911-6038
(239) 561-8880
(239) 561-8890
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME81543
FL
Other
Enumeration date
07/05/2007
Last updated
01/27/2009
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