Individual
AMMAR ABU SULB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 628-3192
(239) 647-5431
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 628-3192
(239) 647-5431
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME145590
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106832500
—
FL
01
—
1GJSS
BCBS
FL
Enumeration date
07/18/2018
Last updated
12/31/2025
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