Fares, Iman

Fares, Iman is an individual health care provider with primary practice located at 13681 Doctors Way , Ft Myers FL 33912-4300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Fares, Iman can be contacted via phone (239) 561-3114.

Contact Information

Primary practice address
13681 Doctors Way Ft Myers FL 33912-4300
Phone: (239) 561-3114
Fax: (239) 561-3124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME 0055095 Florida

Profile Details

NPI number 1588635106
LBN Legal business name Fares, Iman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated May 7th, 2008 - about 18 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 1588635106 NPPES
Florida MEDICAID 379449100

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