Individual
DR. SHERIN KAMAL FETOUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
595 N COURTENAY PKWY STE 101, MERRITT ISLAND, FL 32953-4852
(321) 784-8211
(321) 394-9425
Mailing address
595 N COURTENAY PKWY STE 101, MERRITT ISLAND, FL 32953-4852
(321) 784-8211
(321) 394-9425
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME128979
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IS297Z
MEDICARE
FL
01
—
ME128979
STATE LICENSE NUMBER
FL
Enumeration date
02/20/2008
Last updated
08/11/2022
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