Individual
MAGED MOKHTAR BAKR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 9TH ST N, STE 304, NAPLES, FL 34102-5885
(239) 624-2730
(239) 624-2731
Mailing address
311 9TH ST N, STE 304, NAPLES, FL 34102-5885
(239) 624-2730
(239) 624-2731
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 122337
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014678700
—
FL
01
—
1501Q
BCBS
FL
01
—
IJ623Y
MEDICARE
FL
Enumeration date
01/24/2012
Last updated
08/09/2017
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