Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | ME125061 | FL |
NPI | 1144459066 |
---|---|
Provider Name | Dr. Amit Martin Mukhia |
First Address | Fort Myers, FL 33908-3647 |
Second Address | Fort Myers, FL 33908-3618 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2009 |
Last Update Date | 02/09/2015 |