Provider Demographics
NPI:1699141440
Name:MAKAR, FIKRY
Entity type:Individual
Prefix:
First Name:FIKRY
Middle Name:
Last Name:MAKAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1165 STRAWBERRY CT
Mailing Address - Street 2:
Mailing Address - City:MARCO ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34145-3555
Mailing Address - Country:US
Mailing Address - Phone:239-784-4318
Mailing Address - Fax:
Practice Address - Street 1:1165 STRAWBERRY CT
Practice Address - Street 2:
Practice Address - City:MARCO ISLAND
Practice Address - State:FL
Practice Address - Zip Code:34145-3555
Practice Address - Country:US
Practice Address - Phone:239-784-4318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036058111207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology