PAUL KHALIL (NPI# 1245589449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245589449 |
| Entity Type | Individual |
| Full Name | PAUL KHALIL |
| Practice Address |
9981 S Healthpark Dr Fort Myers FL 33908 |
| Mailing Address |
Po Box 2147 Fort Myers FL 33902-2147 |
| Practice Telephone | 2393432606 |
| Practice Fax Number | 2393433695 |
| Mailing Telephone | 2393432606 |
| Mailing Fax Number | 2393433695 |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2019-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
ME115666 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014519700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3100 Sw 62nd Ave, Miami, FL 331553009 | 3056666511 | |
| 3100 Sw 62nd Ave, Miami, FL 331553009 | 3056695873 |
| Street Address |
9981 S HEALTHPARK DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689331 | Rajendra Sunita Sharma | Specialist | 9981 S Healthpark Dr, Suite 279, Fort Myers, FL 33908-3618 | 2005-06-20 |
| 1477153229 | Evalenee Marie Feutz | Student in an Organized Health Care Education/Training Program | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-10-30 |
| 1487263794 | Jena Morrison | Nurse Practitioner | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-07-23 |
| 1053929950 | Melissa Anne Swartz | Psychologist | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-07-16 |
| 1891311916 | Elvira Ayupova | Nurse Practitioner | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-06-24 |
| 1861014557 | Vanessa Rivera | Nurse Anesthetist, Certified Registered | 9981 S Healthpark Dr, Fort Myers, FL 33908-3620 | 2020-05-15 |
| 1942822879 | Jose Gabriel Lara | Anesthesiologist Assistant | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-05-14 |
| 1679193254 | Nicole Christine Brillembourg | Nurse Anesthetist, Certified Registered | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-04-23 |
| 1235759168 | Lisa Diana Bergh | Nurse Anesthetist, Certified Registered | 9981 S Healthpark Dr, Fort Myers, FL 33908-3620 | 2020-04-21 |
| 1679193601 | Jessica Robin Golda | Registered Nurse | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578851614 | Alfredo Andres Vargas | Pediatrics | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2011-07-11 |
| 1225141229 | Tomas Jacome | Pediatrics | 9981 S Healthpark Dr, Fort Myers, FL 33908 | 2006-08-16 |
| 1336161694 | Carmen Teresa Garcia | Pediatrics | 9981 S Healthpark Dr, Fort Myers, FL 33908 | 2006-07-24 |
| 1235175183 | Warren L Hutcheson | Pediatrics | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285990515 | Nadya Telt | Pediatrics | 2502 W Saint Isabel St Ste B, Tampa, FL 33607 | 2012-04-11 |
| 1801047352 | Efren A Salinero | Pediatrics | 1014 W Harvard St, Orlando, FL 32804-5208 | 2008-10-02 |
| 1730356007 | Lazaro C. Daud | Pediatrics | 5955 Ponce De Leon, Coral Gables, FL 33146 | 2008-05-14 |
| 1194946228 | Thomas Joseph Abrunzo | Pediatrics | 2706 Fountain Boulevard, Tampa, FL 33609-4010 | 2007-05-02 |
| 1508893124 | Mary Deffner Patterson | Pediatrics | 1600 Sw Archer Rd # 100186, Gainesville, FL 32610-3003 | 2006-06-27 |
| 1689637589 | Jean Ernst Jean Baptiste | Pediatrics | 7970 Summerlin Lakes Dr Ste 200, Ft Myers, FL 33907 | 2006-04-11 |
| 1669475349 | Pompano Er Pediatrics LLC | Pediatrics | 201 E Sample Rd, Pompano Er Pediatrics, Pompano Beach, FL 33064-3502 | 2005-05-24 |
| 1700351863 | Kidz Medical Srv | Pediatrics | 9200 Bonita Beach Rd Se Ste 106, Bonita Springs, FL 34135-4254 | 2018-10-04 |
| 1629571062 | Michelle Villanueva Gutierrez | Pediatrics | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2018-03-12 |
| 1912361122 | Nicole Saizon Hardy | Pediatrics | 1329 Sw 16th St, Room 5270, Gainesville, FL 32610-0186 | 2016-04-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.