MOUTAA BENMAAMER (NPI# 1285612143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285612143 |
Entity Type | Individual |
Full Name | MOUTAA BENMAAMER |
Credential | M.D. |
Practice Address |
8380 Riverwalk Park Blvd Suite 100 Fort Myers FL 33919 |
Mailing Address |
Po Box 2147 Ft Myers FL 33902-2147 |
Practice Telephone | 2393439960 |
Mailing Telephone | 2393439960 |
Mailing Fax Number | 2393439977 |
Enumeration Date | 2006-01-02 |
Last Update Date | 2020-08-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME0093674 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 273543100 | 05 |
Street Address |
8380 RIVERWALK PARK BLVD SUITE 100 |
City | FORT MYERS |
State | FL |
Zip Code | 33919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023014958 | Irma Cruz-gonzalez | Specialist | 8380 Riverwalk Park Blvd, Fort Myers, FL 33919-8758 | 2005-06-24 |
1639612492 | Suzie L Willis | Clinical Nurse Specialist | 8380 Riverwalk Park Blvd, Suite 100, Fort Myers, FL 33919-8758 | 2016-11-28 |
1720460124 | Joshua Fry | Nurse Practitioner | 8380 Riverwalk Park Blvd, Suite 100, Fort Myers, FL 33919 | 2015-06-22 |
1801226956 | Rodrigo Ruiz-gamboa | Surgery | 8380 Riverwalk Park Blvd, Suite 100, Fort Myers, FL 33919-8758 | 2013-11-26 |
1649542002 | Bradley Livingston | Physical Therapist | 8380 Riverwalk Park Blvd, Suite 320, Fort Myers, FL 33919-8758 | 2012-02-01 |
1407130511 | Jennifer D Parish | Physician Assistant | 8380 Riverwalk Park Blvd, Suite 100, Fort Myers, FL 33919-8758 | 2011-10-07 |
1528378445 | Mary E. Raulerson | Physician Assistant | 8380 Riverwalk Park Blvd, Suite 100, Fort Myers, FL 33919-8758 | 2010-10-13 |
1699009118 | Christopher Gene Rieman | Physician Assistant | 8380 Riverwalk Park Blvd, Fort Myers, FL 33919-8758 | 2009-09-30 |
1205169067 | Rebecca Sabogal | Physical Therapist | 8380 Riverwalk Park Blvd, Suite 320, Fort Myers, FL 33919-8758 | 2009-09-11 |
1306017058 | Neuroscience and Spine Associates | Psychologist | 8380 Riverwalk Park Blvd, Suite 320, Fort Myers, FL 33919-8758 | 2008-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
Find all providers in zip 33919 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063411841 | John Anthony Moss | Surgery | 6821 Palisades Park Ct Ste 1, Fort Myers, FL 33912-7131 | 2005-07-14 |
1144704800 | David Robert Merkle | Surgery | 6821 Palisades Park Ct Ste 1, Fort Myers, FL 33912-7131 | 2018-09-19 |
1801226956 | Rodrigo Ruiz-gamboa | Surgery | 8380 Riverwalk Park Blvd, Suite 100, Fort Myers, FL 33919-8758 | 2013-11-26 |
1124205349 | Vein Specialists At Royal Palm Square Inc | Surgery | 1510 Royal Palm Square Blvd, Ste. 101, Fort Myers, FL 33919-1068 | 2008-01-30 |
1588682728 | Joseph G Magnant | Surgery | 1510 Royal Palm Square Blvd, Suite 101, Fort Myers, FL 33919-1068 | 2006-07-17 |
1619932753 | Vincent J Belcastro | Surgery | 21 Barkley Circle, Fort Myers, FL 33907 | 2006-04-20 |
1528045747 | Brian Daniel Kurland | Surgery | 13782 Plantation Rd, Unit103, Fort Myers, FL 33912-4462 | 2005-12-29 |
1659365435 | Michael Lee Novotney | Surgery | 8010 Summerlin Lakes Dr Ste 100, Fort Myers, FL 33907-1849 | 2005-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104394857 | George Scott Hall Sr. | Surgery | 9 Marsh Creek Rd, Fernandina Beach, FL 32034-6413 | 2018-11-09 |
1316413115 | Fox Vascular Experts, LLC | Surgery | 2699 Stirling Rd Ste A301302, Fort Lauderdale, FL 33312-6517 | 2018-10-18 |
1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
1598267593 | Joseph D Stillword, Md | Surgery | 800 Zeagler Dr Ste 320, Palatka, FL 32177-3827 | 2018-03-06 |
1386157006 | Beatriz Lam | Surgery | 2001 West 68 St, Cvicu, Hialeah, FL 33016 | 2017-11-16 |
1811421092 | Sunrise Vascular Center | Surgery | 8555 Nw 165th Ter, Miami Lakes, FL 33016-6138 | 2017-04-14 |
1962891838 | Global Trauma Systems, Inc | Surgery | 126 Se Mira Lavella, Port Saint Lucie, FL 34984-6615 | 2015-01-15 |
1184013450 | Vas-q-lar, Inc | Surgery | 6187 Nw 167th St, Suite H13, Hialeah, FL 33015-4340 | 2015-01-09 |
1396147138 | Usa Vein Clinics of Miami, LLC | Surgery | 1711 E Hallandale Beach Blvd Ste B, Hallandale Beach, FL 33009-4621 | 2014-09-24 |
1114336021 | Florida Vein Center, Inc | Surgery | 6050 53rd Ave E Unit A, Bradenton, FL 34203-9700 | 2014-08-05 |
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City | FORT MYERS |
Zip Code | 33919 |
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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.