Individual
DR. JAMAL SAMIH KSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8791 CONFERENCE DR, SUITE 1, FORT MYERS, FL 33919-5822
(239) 938-3506
Mailing address
8791 CONFERENCE DR, SUITE 1, FORT MYERS, FL 33919-5822
(239) 938-3506
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME106342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002442200
—
FL
01
—
1490T
BCBSFL
FL
01
—
P00886227
RR MEDICARE
FL
Enumeration date
05/24/2007
Last updated
04/09/2014
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