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Individual

DIVIS K KHAIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8931 COLONIAL CENTER DR STE 300, FORT MYERS, FL 33905-7809
(239) 343-9567
(239) 343-9571
Mailing address
PO BOX 100224, GAINESVILLE, FL 32610-0278
(352) 273-7832

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2014-00861
NC
207RH0003X
Hematology & Oncology Physician
2014-00861
NC
207RH0003X
Hematology & Oncology Physician
2648
WI
207RH0003X
Hematology & Oncology Physician
319482
NY
207RH0003X
Hematology & Oncology Physician
M-2097
GU
207RH0003X
Hematology & Oncology Physician
MD60789499
WA
207RH0003X
Hematology & Oncology Physician
ME172684
FL
208M00000X
Hospitalist Physician
Primary
ME172684
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098395
WI
05
126187300
FL
Enumeration date
05/23/2005
Last updated
05/11/2026
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