| Fort Myers Primary Care And Wellness | |
|
14131 Metropolis Ave Ste 105 Fort Myers FL 33912-4455 | |
| (239) 922-0909 | |
| Not Available |
| Full Name | Fort Myers Primary Care And Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 14131 Metropolis Ave Ste 105, Fort Myers, Florida |
| Authorized Official Name and Position | Khalid Sabha (OWNER) |
| Authorized Official Contact | 2399220909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Myers Primary Care And Wellness 14131 Metropolis Ave Ste 105 Fort Myers FL 33912-4455 Ph: (239) 922-0909 | Fort Myers Primary Care And Wellness 14131 Metropolis Ave Ste 105 Fort Myers FL 33912-4455 Ph: (239) 922-0909 |
| NPI Number | 1760164800 |
|---|---|
| Provider Enumeration Date | 08/07/2023 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 6800244484 |
|---|---|
| Medicare Enrollment ID | O20231120001956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760164800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Khalid Sabha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902911068 PECOS PAC ID: 2668575325 Enrollment ID: I20070317000016 |
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