Madbak, Firas

Madbak, Firas is an individual health care provider with primary practice located at 13685 Doctors Way Ste 100 , Fort Myers FL 33912-4337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Madbak, Firas can be contacted via phone (239) 343-1612.

Contact Information

Primary practice address
13685 Doctors Way Ste 100 Fort Myers FL 33912-4337
Phone: (239) 343-1612
Fax: (239) 343-4229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X ME129969 Florida

Profile Details

NPI number 1710150669
LBN Legal business name Madbak, Firas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2008
Last updated Mar 27th, 2024 - about 8 months 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 1710150669 NPPES
Florida MEDICAID 019202700

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