Active NPI 1467404905 Individual Practitioner Male Practitioner

George Baker , PA

Physician Assistant • Cape Coral, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

George Baker, PA is a certified Physician Assistant practicing in Cape Coral, FL. With approximately 30 years of clinical experience since graduating from Hahnemann University College Of Medicine in 1996, George Baker delivers high-quality medical care to the local community at 1528 DEL PRADO BLVD S.

George Baker is affiliated with Millennium Physician Group Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1528 Del Prado Blvd S

Cape Coral, FL 339903798

Telephone 2394583338

Fax 2394580666

Associated Practice Facility / Clinic

🏢 Radiology Associates Of Tampa Pa Facility NPI 1780823757

Medicare Profile & Education

Medical School

Hahnemann University College Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Cape Coral, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +18.1 yrs vs City Avg

City Avg: 11.9 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

75 Specialists

Practicing in Cape Coral, FL (10376 Statewide)

Telehealth Adoption Rate

12.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baker (30 Years) 30 Yrs

Cape Coral Specialty Average (11.9 Years) 11.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	725	400	$36.24	$14.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	723	401	$262.15	$108.62
99213 Established patient office or other outpatient visit, typically 15 minutes	307	240	$185.79	$76.92
36415 Insertion of needle into vein for collection of blood sample	272	186	$17.66	$8.59
80053 Blood test, comprehensive group of blood chemicals	199	159	$21.12	$10.19
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	177	145	$15.54	$7.59
80061 Blood test, lipids (cholesterol and triglycerides)	111	89	$26.78	$13.00
84443 Blood test, thyroid stimulating hormone (TSH)	93	83	$33.60	$16.46
99495 Transitional care management services for problem of at least moderate complexity	79	77	$420.91	$174.32
81003 Automated urinalysis test	78	72	$4.50	$2.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	68	68	$265.63	$110.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	66	22	$34.67	$12.15
83036 Hemoglobin A1C level	64	54	$19.42	$9.24
G0444 Annual depression screening, 5 to 15 minutes	62	62	$38.28	$15.93
81001 Manual urinalysis test with examination using microscope, automated	38	34	$6.34	$3.11
93000 Routine ekg using at least 12 leads including interpretation and report	34	34	$29.51	$12.32
81002 Urinalysis, manual test	31	29	$6.96	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$344.25	$144.58
82607 Cyanocobalamin (vitamin B-12) level	20	18	$30.16	$14.04
G0103 Prostate cancer screening; prostate specific antigen test (psa)	19	19	$38.62	$18.92
82570 Creatinine level to test for kidney function or muscle injury	18	17	$10.36	$5.08
82043 Urine microalbumin (protein) level	18	17	$11.56	$5.66
G0008 Administration of influenza virus vaccine	17	17	$66.35	$32.91
90662 Influenza vaccine split virus, preservative free	17	17	$151.56	$77.75
82746 Folic acid level	16	14	$29.40	$14.41
82306 Vitamin d-3 level	15	13	$59.20	$29.01
82728 Ferritin (blood protein) level	12	11	$27.26	$13.36
86140 Measurement C-reactive protein for detection of infection or inflammation	12	12	$10.36	$5.08
83550 Iron binding capacity	12	11	$17.48	$8.57
83540 Iron level	12	11	$12.94	$6.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	693	350	$264.20	$110.06
36415 Insertion of needle into vein for collection of blood sample	302	192	$17.14	$8.34
99213 Established patient office or other outpatient visit, typically 15 minutes	262	190	$187.06	$77.01
80053 Blood test, comprehensive group of blood chemicals	203	163	$21.12	$10.25
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	192	161	$15.54	$7.57
84443 Blood test, thyroid stimulating hormone (TSH)	130	115	$33.60	$16.46
80061 Blood test, lipids (cholesterol and triglycerides)	111	99	$26.78	$13.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$266.44	$109.71
G0444 Annual depression screening, 5 to 15 minutes	79	79	$37.77	$15.75
83036 Hemoglobin A1C level	79	63	$19.42	$9.40
81003 Automated urinalysis test	69	65	$4.50	$2.17
99495 Transitional care management services for problem of at least moderate complexity	59	54	$420.27	$175.88
81001 Manual urinalysis test with examination using microscope, automated	57	50	$6.34	$3.11
81002 Urinalysis, manual test	51	41	$6.96	$3.41
87086 Bacterial colony count, urine	47	36	$16.14	$7.91
82043 Urine microalbumin (protein) level	32	29	$11.56	$5.48
93000 Routine ekg using at least 12 leads including interpretation and report	32	32	$30.24	$12.26
82570 Creatinine level to test for kidney function or muscle injury	32	29	$10.36	$4.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$346.80	$146.11
G0103 Prostate cancer screening; prostate specific antigen test (psa)	26	26	$38.62	$18.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	19	$31.02	$11.66
G0008 Administration of influenza virus vaccine	23	23	$64.40	$31.56
90662 Influenza vaccine split virus, preservative free	22	22	$144.29	$71.62
87077 Bacterial culture for aerobic isolates	21	17	$16.16	$7.92
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	21	17	$17.30	$8.48
J1030 Injection, methylprednisolone acetate, 40 mg	19	16	$15.31	$7.41
82746 Folic acid level	16	13	$29.40	$13.51
82607 Cyanocobalamin (vitamin B-12) level	15	14	$30.16	$13.79
82728 Ferritin (blood protein) level	15	12	$27.26	$13.36
83540 Iron level	14	12	$12.94	$6.34
83550 Iron binding capacity	14	12	$17.48	$8.57
20610 Aspiration and/or injection of fluid from large joint	13	12	$137.36	$57.45
86140 Measurement C-reactive protein for detection of infection or inflammation	13	12	$10.36	$5.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$370.78	$145.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	520	339	$267.00	$111.44
36415 Insertion of needle into vein for collection of blood sample	190	149	$6.00	$2.97
80053 Blood test, comprehensive group of blood chemicals	137	124	$21.12	$10.45
99213 Established patient office or other outpatient visit, typically 15 minutes	125	106	$190.14	$79.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	121	121	$271.82	$112.31
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	112	107	$15.54	$7.69
80061 Blood test, lipids (cholesterol and triglycerides)	101	91	$26.78	$13.10
G0444 Annual depression screening, 5 to 15 minutes	94	94	$38.00	$15.77
84443 Blood test, thyroid stimulating hormone (TSH)	74	72	$33.60	$16.63
83036 Hemoglobin A1C level	68	64	$19.42	$9.46
99495 Transitional care management services for problem of at least moderate complexity	54	49	$429.50	$180.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$353.56	$149.08
81003 Automated urinalysis test	34	34	$4.50	$2.23
85610 Blood test, clotting time	33	13	$8.58	$4.23
81001 Manual urinalysis test with examination using microscope, automated	30	26	$6.34	$3.14
G0008 Administration of influenza virus vaccine	29	29	$60.51	$30.13
G0103 Prostate cancer screening; prostate specific antigen test (psa)	26	26	$38.62	$19.07
90662 Influenza vaccine split virus, preservative free	25	25	$130.52	$68.41
82570 Creatinine level to test for kidney function or muscle injury	24	24	$10.36	$5.11
82043 Urine microalbumin (protein) level	24	24	$11.56	$5.70
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$30.28	$12.16
87086 Bacterial colony count, urine	21	21	$16.14	$8.02
81002 Urinalysis, manual test	18	16	$6.96	$3.46
82728 Ferritin (blood protein) level	17	17	$27.26	$13.45
83540 Iron level	17	17	$12.94	$6.39
83550 Iron binding capacity	17	17	$17.48	$8.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$378.80	$148.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$29.68	$11.38
82607 Cyanocobalamin (vitamin B-12) level	11	11	$30.16	$14.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	378	252	$270.82	$114.46
99213 Established patient office or other outpatient visit, typically 15 minutes	240	188	$190.46	$81.18
36415 Insertion of needle into vein for collection of blood sample	218	168	$6.00	$2.99
80053 Blood test, comprehensive group of blood chemicals	155	137	$21.12	$10.49
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	146	132	$15.54	$7.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	116	116	$274.73	$115.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	98	$116.77	$49.65
84443 Blood test, thyroid stimulating hormone (TSH)	88	84	$33.60	$16.80
80061 Blood test, lipids (cholesterol and triglycerides)	86	81	$26.78	$13.39
G0444 Annual depression screening, 5 to 15 minutes	81	81	$38.21	$16.28
99495 Transitional care management services for problem of at least moderate complexity	74	66	$425.68	$181.19
83036 Hemoglobin A1C level	60	51	$19.42	$9.55
81003 Automated urinalysis test	50	50	$4.50	$2.21
85610 Blood test, clotting time	42	18	$8.58	$4.29
81001 Manual urinalysis test with examination using microscope, automated	40	40	$6.34	$3.09
93000 Routine ekg using at least 12 leads including interpretation and report	40	39	$31.22	$12.86
87086 Bacterial colony count, urine	38	35	$16.14	$8.07
81002 Urinalysis, manual test	35	31	$6.96	$3.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$353.80	$145.81
G0103 Prostate cancer screening; prostate specific antigen test (psa)	26	26	$38.62	$19.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	16	$29.22	$12.42
87077 Bacterial culture for aerobic isolates	17	16	$16.16	$8.08
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	17	16	$17.30	$8.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$379.14	$161.13
82728 Ferritin (blood protein) level	14	13	$27.26	$13.63
83540 Iron level	14	13	$12.94	$6.47
83550 Iron binding capacity	14	13	$17.48	$8.74
82607 Cyanocobalamin (vitamin B-12) level	13	13	$30.16	$15.08
G0008 Administration of influenza virus vaccine	12	12	$36.22	$17.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$236.62	$100.56
82746 Folic acid level	11	11	$29.40	$14.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	246	194	$6.00	$2.95
99213 Established patient office or other outpatient visit, typically 15 minutes	208	185	$157.34	$66.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	135	$228.07	$95.89
80053 Blood test, comprehensive group of blood chemicals	168	151	$21.33	$10.41
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	149	138	$15.68	$7.65
80061 Blood test, lipids (cholesterol and triglycerides)	87	83	$26.99	$13.13
84443 Blood test, thyroid stimulating hormone (TSH)	87	83	$33.86	$16.47
83036 Hemoglobin A1C level	63	60	$19.56	$9.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$240.75	$99.58
87086 Bacterial colony count, urine	39	33	$16.32	$7.81
G0444 Annual depression screening, 5 to 15 minutes	32	32	$37.54	$15.93
81003 Automated urinalysis test	28	26	$4.50	$2.24
81002 Urinalysis, manual test	28	24	$6.96	$3.34
81001 Manual urinalysis test with examination using microscope, automated	25	23	$6.42	$3.02
85652 Red blood cell sedimentation rate, to detect inflammation, automated	18	15	$5.40	$2.68
87077 Bacterial culture for aerobic isolates	18	18	$16.36	$7.57
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	18	18	$17.51	$8.10
85610 Blood test, clotting time	17	12	$8.58	$4.28
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$35.96	$15.15
99495 Transitional care management services for problem of at least moderate complexity	16	15	$384.28	$163.32
82306 Vitamin d-3 level	15	15	$59.64	$29.32
G0103 Prostate cancer screening; prostate specific antigen test (psa)	14	14	$38.62	$19.25
82043 Urine microalbumin (protein) level	13	13	$11.66	$5.72
86140 Measurement C-reactive protein for detection of infection or inflammation	13	13	$10.45	$5.14
82570 Creatinine level to test for kidney function or muscle injury	13	13	$10.45	$5.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	559	489	$155.43	$64.37
85610 Blood test, clotting time	117	57	$8.80	$4.28
36415 Insertion of needle into vein for collection of blood sample	94	86	$6.00	$2.91
81002 Urinalysis, manual test	90	84	$6.96	$3.33
80053 Blood test, comprehensive group of blood chemicals	70	68	$24.00	$11.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	55	54	$17.71	$8.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	49	$226.97	$93.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	24	$36.23	$14.51
87086 Bacterial colony count, urine	26	25	$17.94	$8.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	17	$94.48	$39.51
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	20	16	$19.22	$9.42
87077 Bacterial culture for aerobic isolates	20	16	$17.94	$8.79
84443 Blood test, thyroid stimulating hormone (TSH)	20	20	$38.38	$18.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$229.16	$91.82
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$36.00	$15.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	765	613	$158.00	$64.22
85610 Blood test, clotting time	319	77	$11.00	$4.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	108	50	$44.00	$18.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	83	$231.00	$94.61
81002 Urinalysis, manual test	83	75	$7.00	$3.41
87804 Detection test by immunoassay with direct visual observation for influenza virus	52	26	$34.00	$16.22
71046 X-ray of chest, 2 views	19	19	$42.00	$20.09
36415 Insertion of needle into vein for collection of blood sample	15	15	$10.00	$2.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	14	$56.00	$17.85
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$43.00	$15.04
90471 Administration of 1 vaccine	11	11	$56.00	$17.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	174	$155.38	$63.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	116	$222.82	$93.59
85610 Blood test, clotting time	85	70	$11.00	$5.28
81002 Urinalysis, manual test	24	23	$7.00	$3.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	16	$32.89	$22.18
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	13	$44.00	$17.57
76775 Limited ultrasound scan behind abdominal cavity	14	14	$220.00	$51.39
G0008 Administration of influenza virus vaccine	13	13	$39.85	$25.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$230.00	$101.37

Medical Specialties & State Licenses

CMS Verified: 2023-01-20

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA3058

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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License FL PA3058

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

291203100 (FL)

Hospital & Practice Group Affiliations

Millennium Physician Group Llc

126 Del Prado Blvd N, Cape Coral, FL 339092713

Millennium Physician Group Llc

2675 Winkler Ave, Fort Myers, FL 339019328

Millennium Physician Group Llc

1065 Tamiami Trl N, Nokomis, FL 342752144

Phone: 9414772364

Millennium Physician Group Llc

12995 S Cleveland Ave, Fort Myers, FL 339077703

Phone: 2399392201

Millennium Physician Group Llc

2002 Del Prado Blvd S, Cape Coral, FL 339904557

Phone: 2392174470

Millennium Physician Group Llc

3571 Del Prado Blvd N, Cape Coral, FL 339095287

Phone: 2396566300

Millennium Physician Group Llc

13691 Metro Pkwy, Fort Myers, FL 339124322

Millennium Physician Group Llc

3434 Hancock Bridge Pkwy, North Fort Myers, FL 339037099

Phone: 8778563774

Millennium Physician Group Llc

2675 Winkler Avenue, Fort Myers, FL 339019328

Millennium Physician Group Llc

19531 Cochran Blvd, Port Charlotte, FL 339482081

Phone: 9412553535

Millennium Physician Group Llc

150 W Mckenzie St, Punta Gorda, FL 339505500

Phone: 9416216476

Millennium Physician Group Llc

1528 Del Prado Blvd S, Cape Coral, FL 339903798

Phone: 2394583338

Millennium Physician Group Llc

177 Ctr Rd, Venice, FL 342855572

Phone: 9412075350

Millennium Physician Group Llc

13813 Metro Pkwy, Fort Myers, FL 339124343

Phone: 2399361343

Millennium Physician Group Llc

171 Ctr Rd, Venice, FL 342855572

Phone: 9414995407

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners

Mauricio Tejada Valencia , APRN

Nurse Practitioner - Gerontology

NPI 1053091371

Advanced Practice Registered Nurse

Dr. Jack Clark , DO

Internal Medicine - Rheumatology

NPI 1073563847

Doctor of Osteopathic Medicine (D.O.)

Dr. Emily Birkhead , DNP, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1144934282

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Dr. Donald Mcalpine , MD

Internal Medicine - Pulmonary Disease

NPI 1154329183

Doctor of Medicine (M.D.)

Dr. Michael Laufer , MD

Internal Medicine

NPI 1164493946

Doctor of Medicine (M.D.)

Karen Desouza Ferreira Hunt

Family Medicine

NPI 1194151589

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location January 20, 2023

Registered at 1528 DEL PRADO BLVD S, CAPE CORAL, FL 339903798 (Tel: 2394583338)

📍

Updated Business Mailing Address January 20, 2023

Registered at 2675 WINKLER AVE FL 2, FORT MYERS, FL 339019342 (Tel: 8778563774)

✅

NPI Profile Active November 10, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 10, 2016

Registered at 8350 RIVERWALK PARK BLVD, SUITE 1, FORT MYERS, FL 339198759 (Tel: 2394825399)

📍

Updated Business Mailing Address November 10, 2016

Registered at 13861 PLANTATION RD, STE 104, FORT MYERS, FL 339124342 (Tel: 2392251306)

👤

Provider Name / Credentials Updated November 10, 2016

Recorded as GEORGE BAKER, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2016

Physician Assistant (License #PA3058 in FL)

🟢

Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467404905

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 16, 2006

Last Update: January 20, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2675 Winkler Ave Fl 2

Fort Myers, FL 339019342

Phone: 8778563774

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.