Individual
DR. ELMUTAZ M ELTAHIR
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) 343-2052
(239) 343-5348
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101263961
VA
207R00000X
Internal Medicine Physician
48498
CO
207R00000X
Internal Medicine Physician
48616-020
WI
208M00000X
Hospitalist Physician
0101263961
VA
208M00000X
Hospitalist Physician
DR.0048498
CO
208M00000X
Hospitalist Physician
Primary
ME167080
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020625
KAISER COMMERCIAL NUMBER
CO
05
—
122019900
—
FL
05
—
1982723821
—
VA
01
—
48616-020
WI LICENSE NUMBER
WI
05
—
62380851
—
CO
Enumeration date
03/29/2007
Last updated
08/09/2024
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