Individual
DR. ASIF F KAMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21202 OLEAN BLVD STE C6, PORT CHARLOTTE, FL 33952-6771
(941) 889-7440
(941) 391-6089
Mailing address
21202 OLEAN BLVD STE C6, PORT CHARLOTTE, FL 33952-6771
(941) 889-7440
(941) 391-6089
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0071572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007380241
AETNA
FL
05
—
251051100
—
FL
01
—
32468
BCBS
FL
Enumeration date
08/28/2005
Last updated
08/06/2024
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