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Contact Information

AHMED ABOKOORA, PA
2776 CLEVELAND AVE
FORT MYERS, FL33901
 Phone: 239-343-2606
 Fax: 239-343-3695
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AHMED ABOKOORA · (Male)

NPI Number 1669775433
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/16/2010
Last updated 03/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9105700
  • FL Medicaid 008551200
Hospital affiliation(s) Not Available
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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