Organization
FORT MYERS INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HADDAD MD (OWNER)
(239) 225-1306
Entity
Organization
Contact information
Practice address
13861 PLANTATION RD UNIT 104, FT MYERS, FL 33912
(239) 225-1306
(239) 768-1313
Mailing address
13861 PLANTATION RD UNIT 104, FT MYERS, FL 33912
(239) 225-1306
(239) 768-1313
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME106006
FL
Other
Enumeration date
01/22/2013
Last updated
07/21/2022
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