Individual
NOEMI AMITINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PHD
Contact information
Practice address
1620 MEDICAL LN STE 100, FORT MYERS, FL 33907-1143
(239) 275-1164
(239) 275-5212
Mailing address
14275 MIDWAY RD STE 400, ADDISON, TX 75001-3614
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A67927
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME121688
FL
Other
Enumeration date
01/08/2007
Last updated
06/22/2021
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