Individual
DR. YAMIL DAVID FOURZALI SABBAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14551 HOPE CENTER LOOP STE 100, FORT MYERS, FL 33912-4705
(239) 936-2316
(239) 936-3099
Mailing address
3660 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316
(239) 936-3099
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
84577
GA
207U00000X
Nuclear Medicine Physician
Primary
ME148265
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/30/2007
Last updated
01/05/2024
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