Individual
DR. HUSSEIN WAFAPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1567 HAYLEY LN, SUITE 101, FORT MYERS, FL 33907-2109
(239) 337-3337
(239) 936-2394
Mailing address
1567 HAYLEY LN, SUITE 101, FORT MYERS, FL 33907-2109
(239) 337-3337
(239) 936-2394
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
16742
MS
207W00000X
Ophthalmology Physician
ME9609
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME9609
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123783
—
MS
Enumeration date
05/28/2006
Last updated
07/18/2017
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