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Individual

MAHMOUD ABDELFATTAH NIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12083 CORTEZ BLVD, BROOKSVILLE, FL 34613-7350
(352) 596-4022
(352) 596-9851
Mailing address
5350 SPRING HILL DR STE 305, SPRING HILL, FL 34606-4562
(352) 277-5348
(352) 606-2857

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME66235
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME66235
FL
207RI0011X
Interventional Cardiology Physician
ME66235
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25482
BCBS
05
376345500
FL
Enumeration date
06/20/2005
Last updated
04/29/2026
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