Individual
IMAN FARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13681 DOCTORS WAY, FT MYERS, FL 33912-4300
(239) 561-3114
(239) 561-3124
Mailing address
PO BOX 2147, FT MYERS, FL 33902-2147
(239) 424-1400
(239) 424-1421
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME 0055095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379449100
—
FL
Enumeration date
01/31/2006
Last updated
05/07/2008
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