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Kailen Gonzalez, PA
Medical Physician Assistant in Fort Myers, Florida
NPI 1255607750

Kailen Gonzalez is a Medical Physician Assistant based in Fort Myers, FL and is specialized in Medical. Kailen Gonzalez practices in Fort Myers, FL and has the professional credentials of PA. The NPI Number for Kailen Gonzalez is 1255607750 and holds a License No. PA9113094 (Florida).

The current practice location address for Kailen Gonzalez is 4571 Colonial Blvd Ste 110, Fort Myers, FL and can be reached out via phone at 786-218-3593.

Location: 4571 Colonial Blvd Ste 110, Fort Myers, FL, 33907-1412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255607750
Provider Name
Kailen Gonzalez
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4571 Colonial Blvd Ste 110, Fort Myers, FL, 33907-1412
Phone Number
786-218-3593
Fax Number
Provider Enumeration Date
03/29/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
956511 01 SC WELLCARE
9673961 01 SC AETNA
111378700 05 FL
1434PA 05 SC
80025208 01 SC SELECT HEALTH
19BS6 01 SC BCBS
3H9GM 01 FL BCBS
P01074499 01 SC RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
4571 Colonial Blvd Ste 110
City
Fort Myers
State
Florida
Zip
33966-1156
Phone Number
786-218-3593
Fax Number
person
Provider Business Mailing Address Details
Address
4571 Colonial Blvd Ste 110
City
Fort Myers
State
Florida
Zip
33966-1156
Phone Number
786-218-3593
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
9113094 (Florida)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA9113094 (Florida)
Definition
Definition to come...
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