Healthcare Provider Details

I. General information

NPI: 1720861008
Provider Name (Legal Business Name): FAHIMY SAOUD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13880 SHELL POINT PLZ STE 110
FORT MYERS FL
33908-3504
US

IV. Provider business mailing address

13880 SHELL POINT PLZ STE 200
FORT MYERS FL
33908-3504
US

V. Phone/Fax

Practice location:
  • Phone: 239-454-2146
  • Fax: 239-454-2111
Mailing address:
  • Phone: 239-454-2146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME166057
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: