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Contact Information

MITKO M BADOV, MD
9981 S HEALTHPARK DR
SUITE 159
FORT MYERS, FL33908
 Phone: 239-343-2052
 Fax: 239-424-1421
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MITKO M BADOV · (Male)

NPI Number 1073597340
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2005
Last updated 03/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME 91488
  • FL License # ME91488
  • FL Medicaid 000820900
  • FL Medicaid 2721431 00
  • FL Other 30021 BCBSFL
Hospital affiliation(s)
  • GULF COAST MEDICAL CENTER LEE MEMORIAL HEALTH SYSTEM - (Acute Care)
    13681 DOCTOR'S WAY
    FORT MYERS, FL 33912
  • LEE MEMORIAL HOSPITAL - (Acute Care)
    2776 CLEVELAND AVE
    FORT MYERS, FL 33901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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