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Individual

LAMYA KACEMI-BOURHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-2052
(239) 343-5348
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME126555
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016687000
FL
05
114694500
FL
01
IM468Y
MEDICARE
FL
01
ML9XJQ
BCBS
FL
Enumeration date
06/21/2012
Last updated
06/04/2025
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