Unknown Individual – Physician Assistant, NPI 1659340123
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2718, Lee Boulevard, Lehigh Acres, Fort Myers, Lee County, Florida, 33971, United States
STE B
LEHIGH ACRES, FL 339711537
Phone: (239) 274-8005
Fax: (239) 275-8005
Type: Location
2nd Street, Fort Myers, Lee County, Florida, 33916, United States
FORT MYERS, FL 339054808
Phone: (239) 850-7519
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33971)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Dermatology | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL |
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