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NPI Code Detail

MEDICARE: MR. HAMZA INNAB RBT

MEDICARE:  MR. HAMZA  INNAB  RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1427903962
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HAMZA INNAB RBT
Provider Business Mailing Address
First Line : 11922 FAIRWAY LAKES DR STE 2
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-8384
Country : US
Telephone Number : 239-219-3409
Fax Number : 941-564-5542
Provider Business Practice Location Address
First Line : 11922 FAIRWAY LAKES DR STE 2
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-8384
Country : US
Telephone Number : 239-219-3409
Fax Number : 941-564-5542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ MR. HAMZA INNAB RBT” Practice Location

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