J. Robert South in Fort Myers - Physician Assistant

J. Robert South - NPI 1477563542

J. Robert South is a Physician Assistant in Fort Myers, Florida. J. Robert South practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for J. Robert South is 1477563542. The last update date is 2007-07-09.

J. Robert South's current location address is 3920 Michigan Ave, Fort Myers, Florida. You can contact this provider via phone number 2393329501 and fax number 2393329553. The mailing address for J. Robert South is 3920 Michigan Ave, Fort Myers, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name J. Robert South
Address 3920 Michigan Ave, Fort Myers, Florida
Phone Number 2393329501
Fax Number 2393329553
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1477563542
Provider Enumeration Date 2006-08-09
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3920 Michigan Ave
City Fort Myers
State Florida (FL)
Post Code 339162205
Phone Number 2393329501
Fax Number 2393329553

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA1641
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

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FAQs about J. Robert South

What is the unique provider identifier assigned to J. Robert South?

The J. Robert South has been issued the NPI (National Provider Identifier) 1477563542 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where J. Robert South is geographically located?

The J. Robert South is physically situated at the following location: 3920 Michigan Ave, Fort Myers, FL, 339162205.

What is J. Robert South's area of expertise and its corresponding taxonomy classification?

The J. Robert South's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1477563542 to J. Robert South?

The Centers for Medicare & Medicaid Services originally issued the 1477563542 to J. Robert South on 2006-08-09.

As of what date was the information regarding J. Robert South, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to J. Robert South, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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