Individual
DR. ISLAM IBRAHIM FAYED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
14551 HOPE CENTER LOOP STE 100, FORT MYERS, FL 33912-4705
(239) 936-2316
(239) 834-6106
Mailing address
3660 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316
(239) 834-6106
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2021012454
MO
2085R0202X
Diagnostic Radiology Physician
7592
OK
2085R0202X
Diagnostic Radiology Physician
Primary
OS20088
FL
208D00000X
General Practice Physician
7592
OK
Other
Enumeration date
03/29/2016
Last updated
02/13/2024
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