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Travis Neagle, PA
Medical Physician Assistant in Fort Myers, Florida
NPI 1114320157

Travis Neagle is a Medical Physician Assistant based in Fort Myers, FL and is specialized in Medical. Travis Neagle practices in Fort Myers, FL and has the professional credentials of PA. The NPI Number for Travis Neagle is 1114320157 and holds a License No. PA9108296 (Florida).

The current practice location address for Travis Neagle is 9981 S Healthpark Dr, Fort Myers, FL and can be reached out via phone at 239-343-2052 and via fax at 239-343-1009.

Location: 9981 S Healthpark Dr, Fort Myers, FL, 33902-2147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114320157
Provider Name
Travis Neagle
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
9981 S Healthpark Dr, Fort Myers, FL, 33902-2147
Phone Number
239-343-2052
Fax Number
239-343-1009
Provider Enumeration Date
10/06/2014
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
013805400 05 FL
institution
Provider Business Practice Location Address Details
Address
9981 S Healthpark Dr
City
Fort Myers
State
Florida
Zip
33908-3618
Phone Number
239-343-2052
Fax Number
239-343-1009
person
Provider Business Mailing Address Details
Address
9981 S Healthpark Dr
City
Fort Myers
State
Florida
Zip
33908-3618
Phone Number
239-343-2052
Fax Number
239-343-1009
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9108296 (Florida)
Definition
Definition to come...
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