Individual
MOUTAA BENMAAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15730 NEW HAMPSHIRE CT, FORT MYERS, FL 33908-4121
(239) 481-0033
(321) 966-8322
Mailing address
15730 NEW HAMPSHIRE CT, FORT MYERS, FL 33908-4121
(239) 481-0033
(321) 966-8322
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME0093674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273543100
—
FL
Enumeration date
01/02/2006
Last updated
01/21/2022
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