Individual
DR. SAMINA AZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9981 S HEALTHPARK DR # 2-WEST, FORT MYERS, FL 33908-3618
(239) 343-2052
(239) 343-5348
Mailing address
P.O. BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME107367
FL
208M00000X
Hospitalist Physician
Primary
ME107367
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002840700
—
FL
Enumeration date
03/31/2009
Last updated
03/24/2021
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