Bernice Diaz Bawayan in Fort Myers - Physician Assistant

Bernice Diaz Bawayan - NPI 1811103971

Bernice Diaz Bawayan is a Physician Assistant in Fort Myers, Florida. Bernice Diaz Bawayan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bernice Diaz Bawayan is 1811103971. The last update date is 2017-12-18.

Bernice Diaz Bawayan's current location address is 2160 Colonial Blvd, Fort Myers, Florida. You can contact this provider via phone number 2399317342 and fax number 2399317385. The mailing address for Bernice Diaz Bawayan is 2160 Colonial Blvd, Fort Myers, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Bernice Diaz Bawayan
Address 2160 Colonial Blvd, Fort Myers, Florida
Phone Number 2399317342
Fax Number 2399317385
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1811103971
Provider Enumeration Date 2007-05-15
Last Updated Date 2017-12-18

Provider Mailing Address Detail

Address 2160 Colonial Blvd
City Fort Myers
State Florida (FL)
Post Code 339071410
Phone Number 2399317342
Fax Number 2399317385

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 11686
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
246075 NY --

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FAQs about Bernice Diaz Bawayan

What is the Bernice Diaz Bawayan's unique identification number?

The Bernice Diaz Bawayan has been assigned the NPI (National Provider Identifier) Number 1811103971 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Bernice Diaz Bawayan is geographically located?

The Bernice Diaz Bawayan is physically situated at the following location: 2160 Colonial Blvd, Fort Myers, FL, 339071410.

What is Bernice Diaz Bawayan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bernice Diaz Bawayan is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1811103971 to Bernice Diaz Bawayan?

The Bernice Diaz Bawayan received its 1811103971 assignment from the Centers for Medicare & Medicaid Services on 2007-05-15.

When was the information regarding Bernice Diaz Bawayan most recently updated?

The details pertaining to the Bernice Diaz Bawayan, including its address, specialty, and other relevant information, were last refreshed on 2017-12-18.

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