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Organization

CYPRESS FAMILY MEDICAL CENTER PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANTOKH SINGH WALHA MD (PRESIDENT)
(239) 454-0500
Entity
Organization

Contact information

Practice address
9371 CYPRESS LAKE DRIVE, SUITE 16, FORT MYERS, FL 33919-4945
(239) 454-0500
(239) 454-0663
Mailing address
9371 CYPRESS LAKE DRIVE, SUITE 16, FORT MYERS, FL 33919-4945
(239) 454-0500
(239) 454-0663

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME72023
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
118376200
FL
05
253868700
FL
01
42986
BCBS FL
Enumeration date
10/02/2006
Last updated
08/29/2023
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