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Individual

DR. HOWARD M IMANUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
8851 BOARDROOM CIR, FORT MYERS, FL 33919-4888
(239) 689-8910
(239) 433-8999
Mailing address
13681 METROPOLIS AVE, FORT MYERS, FL 33912-4318
(239) 768-2323
(239) 768-5530

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO000705
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041327500
FL
Enumeration date
07/28/2005
Last updated
03/13/2017
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