Individual
JIHAD M KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15244 FIDDLESTICKS BLVD, FORT MYERS, FL 33912-2439
(239) 000-0000
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
4777
SD
207RC0000X
Cardiovascular Disease Physician
Primary
ME113881
FL
Other
Enumeration date
06/16/2005
Last updated
06/03/2020
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