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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MITZI MELAINE IBARRA

Active Sole Proprietor

MITZI MELAINE IBARRA is a Physician Assistant healthcare provider located in FORT MYERS, Florida. NPI 1356178743 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT MYERS, FL

Registration Details

NPI Number
1356178743
Provider Type
Individual
Gender
Female
NPI Issued
Sep 18, 2024 (1.8917631374835 yrs)
Last Updated
Sep 18, 2024
License
PA9107877 (FL)
Sole Proprietor
Yes

Practice Information

Address
4961 ROYAL GULF CIR
FORT MYERS, FL, 339667006
Browse FL providers · Browse ZIP 33966
Phone
2396874015
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FORT MYERS, FL

Name Credential NPI
MATTHEW EDWARD MEAGHER PAC 1730185356
MR. JARED P. REISS PA-C 1558360206
PASQUALE JOHN DEFIORE PA-C 1063413458
CLAUDETTE F JACKSON PAC 1962494450
MS. KRISTIN J OVADAL PAC 1063407930
BARBARA J MAGGIANI PA-C 1942282546
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.