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Individual

REZA S HUSSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13340 METRO PKWY STE 400, FORT MYERS, FL 33966-4818
(239) 343-1105
(239) 343-1106
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1105
(239) 343-1106

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME91173
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2087768
UNITED
FL
05
275255700
FL
01
53134
BCBS
FL
01
6180830
CIGNA
FL
01
7430369
AETNA
FL
Enumeration date
03/21/2006
Last updated
03/25/2021
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