Individual
SANDI LWIN KHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13340 METRO PKWY STE 400, FORT MYERS, FL 33966-4818
(239) 343-1105
(239) 343-1106
Mailing address
10950 LEGACY GATEWAY CIR UNIT 408, FORT MYERS, FL 33913-2686
(347) 751-3599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME149985
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME149985
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME149985
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110458200
—
FL
Enumeration date
03/25/2015
Last updated
11/16/2021
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