Individual
DR. TIMUR MAMEDOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908
(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
207R00000X
Internal Medicine Physician
ME129593
FL
208M00000X
Hospitalist Physician
Primary
ME129593
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018601200
—
FL
Enumeration date
06/13/2013
Last updated
07/18/2025
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