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General NPI Number Information
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NPI Number | 1598159535
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Entity Type | Individual
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Provider Name | OSAMA ELFITURI M.D
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Gender | Male
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 07/16/2021
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Provider Practice Location Address
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Address Line | 1620 MEDICAL LN STE 100
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City | FORT MYERS
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State | FL
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Zip | 33907-1143
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Country | US
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Telephone | 239-275-1164
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Fax | 239-275-5212
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Provider Business Mailing Address
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Address Line | 14275 MIDWAY RD STE 400
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City | ADDISON
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State | TX
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Zip | 75001-3614
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Country | US
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Telephone | 773-540-9900
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Fax | 610-271-4245
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 7079520
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 7079520
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | ME149766
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License Number State | FL
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