Healthcare Provider Details

I. General information

NPI: 1427989748
Provider Name (Legal Business Name): AHMED EL-GENDY MBA,RPSGT,RST,CCSH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 LEE BLVD STE 100
LEHIGH ACRES FL
33971-1569
US

IV. Provider business mailing address

2625 LEE BLVD STE 100
LEHIGH ACRES FL
33971-1569
US

V. Phone/Fax

Practice location:
  • Phone: 239-369-3333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: