Pasquale John Defiore P.A.

NPI 1063413458 - Physician Assistant - 363A00000X

NPI Details
NPI 1063413458
Gender Male
Enumeration Date 08/09/2005
Last Updated 05/22/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
8350 RIVERWALK PARK BLVD
SUITE 1
FORT MYERS FL, 33919-8759, US
Phone (239) 482-5399
Fax (239) 482-4353
Business Location
8350 RIVERWALK PARK BLVD
SUITE 1
FORT MYERS FL, 33919-8759, US
Phone (239) 482-5399
Fax (239) 482-4353
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA9102992
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According to our database, Pasquale John Defiore P.A. NPI is 1063413458, taxonomy code is 363A00000X and license number is PA9102992, license state is located at Florida. Pasquale John Defiore P.A. physically located at 8350 Riverwalk Park Blvd, Fort Myers FL, 33919-8759. NPI Number Pasquale John Defiore P.A. has the Individual type.

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1063413458 NPI number is provided on an as is basis without warranty of any kind. 1063413458 is maintained by the National Plan & Provider Enumeration System. The contents of Pasquale John Defiore P.A. are for informational purposes only.