is a Physician Assistant in Naples, Florida. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for is 1871545046. The last update date is .
's current location address is 11725 Collier Blvd H, Naples, Florida. You can contact this provider via phone number 2393492500 and fax number 2393492501. The mailing address for is 11725 Collier Blvd H, Naples, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 11725 Collier Blvd H, Naples, Florida |
| Phone Number | 2393492500 |
| Fax Number | 2393492501 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1871545046 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 11725 Collier Blvd H |
|---|---|
| City | Naples |
| State | Florida (FL) |
| Post Code | 341166524 |
| Phone Number | 2393492500 |
| Fax Number | 2393492501 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9102277 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y08XG | FL | BCBS |
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