Individual
AMALIA DORIS ARDELJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
224 SANTA BARBARA BLVD STE 102, CAPE CORAL, FL 33991-2038
(239) 424-1900
(239) 424-1908
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-1900
(239) 424-1908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME175340
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129167000
—
FL
Enumeration date
03/24/2023
Last updated
12/10/2025
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