Individual
FIRAS MADBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13685 DOCTORS WAY STE 100, FORT MYERS, FL 33912-4337
(239) 343-1612
(239) 343-4229
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1612
(239) 343-4229
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
ME129969
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019202700
—
FL
Enumeration date
04/10/2008
Last updated
03/27/2024
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