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Individual

DR. AJAY L. ABICHANDANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13340 METRO PKWY STE 200, FORT MYERS, FL 33966-4818
(239) 343-0550
(239) 343-4013
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-0550
(239) 343-4013

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT202525
PA
207RC0000X
Cardiovascular Disease Physician
MD455978
PA
207RC0000X
Cardiovascular Disease Physician
Primary
ME166828
FL
207RC0000X
Cardiovascular Disease Physician
MT202525
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122211900
FL
Enumeration date
06/19/2012
Last updated
09/25/2024
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