Healthcare Provider Details

I. General information

NPI: 1760899652
Provider Name (Legal Business Name): KAMALPREET PARMAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: KAMAL-PREET PARMAR MD

II. Dates (important events)

Enumeration Date: 07/13/2014
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2848 CENTER POINTE DR STE A
FORT MYERS FL
33916-9521
US

IV. Provider business mailing address

PO BOX 102222
ATLANTA GA
30368-2222
US

V. Phone/Fax

Practice location:
  • Phone: 239-561-9622
  • Fax: 239-768-5297
Mailing address:
  • Phone: 239-274-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberPT16241
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberME183502
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number16247
License Number StateND
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License NumberME183502
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: