Individual
YASMEEN M ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. PA
Contact information
Practice address
3400 TAMIAMI TRL, SUITE 102, PORT CHARLOTTE, FL 33952-8102
(941) 625-5855
(941) 625-7123
Mailing address
3400 TAMIAMI TRL, SUITE 102, PORT CHARLOTTE, FL 33952-8102
(941) 625-5855
(941) 625-7123
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
FLME78276
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263441400
—
FL
01
—
49858
BLUE CROSS
FL
01
—
K9957
MEDICARE GROUP
FL
Enumeration date
11/14/2005
Last updated
06/29/2022
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