Khalil, Diana

Khalil, Diana is an individual health care provider with primary practice located at 8925 Colonial Center Dr Ste 1000 , Fort Myers FL 33905-7813. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Khalil, Diana can be contacted via phone (239) 343-9560.

Contact Information

Primary practice address
8925 Colonial Center Dr Ste 1000 Fort Myers FL 33905-7813
Phone: (239) 343-9560
Fax: (239) 343-9624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X ME145167 Florida

Profile Details

NPI number 1982054078
LBN Legal business name Khalil, Diana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2016
Last updated Mar 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982054078 NPPES
Florida MEDICAID 106163200

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