Individual
YASMIN POUSTCHI MALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15901 BASS RD STE 108, FORT MYERS, FL 33908-3838
(239) 343-6050
(239) 343-6051
Mailing address
PO BOX 5192, SARASOTA, FL 34277-5192
(848) 219-0247
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2016-00301
NC
207W00000X
Ophthalmology Physician
Primary
ME132900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021826500
—
FL
Enumeration date
04/24/2012
Last updated
04/05/2018
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