Individual
AMIN HANOI JIMINIAN WILMOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5855
(239) 424-1449
(239) 424-1421
Mailing address
2401 W UNIVERSITY AVE, RCS PROVIDER ENROLLMENT, MUNCIE, IN 47303-3428
(765) 741-1515
(765) 751-5087
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01078506
IN
208M00000X
Hospitalist Physician
Primary
01078506A
IN
208M00000X
Hospitalist Physician
73475
WI
208M00000X
Hospitalist Physician
ME113450
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100099963
—
WI
Enumeration date
09/08/2011
Last updated
06/29/2021
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