person
Ms. Anisa Meghan Jallal, PA-C
Medical Physician Assistant in Fort Myers, Florida
NPI 1841841822

Anisa Meghan Jallal is a Medical Physician Assistant based in Fort Myers, FL and is specialized in Medical. Anisa Meghan Jallal practices in Fort Myers, FL and has the professional credentials of PA-C. The NPI Number for Anisa Meghan Jallal is 1841841822 and holds a License No. 1167615 (Florida).

The current practice location address for Anisa Meghan Jallal is 16271 Bass Rd, Fort Myers, FL and can be reached out via phone at 239-985-1925 and via fax at 239-468-7929.

Location: 16271 Bass Rd, Fort Myers, FL, 33902-2147
person
Provider Profile Details
NPI Number
1841841822
Provider Name
Anisa Meghan Jallal
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
16271 Bass Rd, Fort Myers, FL, 33902-2147
Phone Number
239-985-1925
Fax Number
239-468-7929
Provider Enumeration Date
09/22/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104500300 05 FL
institution
Provider Business Practice Location Address Details
Address
16271 Bass Rd
City
State
Zip
33908-3616
Phone Number
239-985-1925
Fax Number
239-468-7929
person
Provider Business Mailing Address Details
Address
16271 Bass Rd
City
State
Zip
33908-3616
Phone Number
239-985-1925
Fax Number
239-468-7929
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1167615 (Florida)
Definition
Definition to come...
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