Organization
GENERAL SURGERY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOUTAA BENMAAMER MD (OWNER)
(239) 938-5895
Entity
Organization
Contact information
Practice address
15730 NEW HAMPSHIRE CT, FORT MYERS, FL 33908-4121
(239) 481-0033
(321) 966-8322
Mailing address
15730 NEW HAMPSHIRE CT, FORT MYERS, FL 33908-4121
(239) 481-0033
(321) 966-8322
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
01/21/2022
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