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Ismael Macalla-rodriguez, APRN
Gerontology Nurse Practitioner in Fort Myers, Florida
NPI 1063186930

Ismael Macalla-rodriguez is a Gerontology Nurse Practitioner based in Fort Myers, FL and is specialized in Gerontology. Ismael Macalla-rodriguez practices in Fort Myers, FL and has the professional credentials of APRN. The NPI Number for Ismael Macalla-rodriguez is 1063186930 and holds a License No. APRN11014693 (Florida).

The current practice location address for Ismael Macalla-rodriguez is 5216 Clayton Ct, Fort Myers, FL and can be reached out via phone at 239-343-8260 and via fax at 239-343-4258.

Location: 5216 Clayton Ct, Fort Myers, FL, 33902-2147
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Provider Profile Details
NPI Number
1063186930
Provider Name
Ismael Macalla-rodriguez
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
5216 Clayton Ct, Fort Myers, FL, 33902-2147
Phone Number
239-343-8260
Fax Number
239-343-4258
Provider Enumeration Date
08/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
118721400 05 FL
institution
Provider Business Practice Location Address Details
Address
5216 Clayton Ct
City
State
Zip
33907-2116
Phone Number
239-343-8260
Fax Number
239-343-4258
person
Provider Business Mailing Address Details
Address
5216 Clayton Ct
City
State
Zip
33907-2116
Phone Number
239-343-8260
Fax Number
239-343-4258
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
APRN11014693 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
APRN11014693 (Florida)
Definition
Definition to come...
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