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Individual

DIANA KHALIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13681 DOCTORS WAY, FORT MYERS, FL 33912-4300
(239) 343-7652
(239) 343-0533
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9560
(239) 343-9624

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
ME145167
FL
208M00000X
Hospitalist Physician
Primary
ME145167
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106163200
FL
Enumeration date
06/20/2016
Last updated
08/27/2024
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