Individual
MAGID AZAM AL-KIMAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1285 CREEKSIDE BLVD E UNIT 102, NAPLES, FL 34109-0595
(239) 624-0960
(239) 624-0961
Mailing address
1285 CREEKSIDE BLVD E UNIT 102, NAPLES, FL 34109-0595
(239) 624-0960
(239) 624-0961
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
257452
MA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME137943
FL
208VP0014X
Interventional Pain Medicine Physician
257452
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100996100
—
FL
01
—
BCJA4
BCBS
FL
01
—
KI092
MEDICARE
FL
Enumeration date
07/28/2008
Last updated
11/24/2018
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