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Joseph Deily IV, PA
Surgical Physician Assistant in Fort Myers, Florida
NPI 1952337636

Joseph Deily IV is a Surgical Physician Assistant based in Fort Myers, FL and is specialized in Surgical. Joseph Deily IV practices in Fort Myers, FL and has the professional credentials of PA. The NPI Number for Joseph Deily IV is 1952337636 and holds a License No. PA9101378 (Florida).

The current practice location address for Joseph Deily IV is 9981 S Healthpark Dr Ste 156, Fort Myers, FL and can be reached out via phone at 239-343-6341 and via fax at 239-343-6342. You can also correspond with Joseph Deily IV through the mailing address at P.O. BOX 2147, FORT MYERS, FL - 33902-2147 (mailing address contact number: 239-343-6341).

Location: 9981 S Healthpark Dr Ste 156, Fort Myers, FL, 33902-2147
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Provider Profile Details
NPI Number
1952337636
Provider Name
Joseph Deily IV
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
9981 S Healthpark Dr Ste 156, Fort Myers, FL, 33902-2147
Phone Number
239-343-6341
Fax Number
239-343-6342
Provider Enumeration Date
06/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00292299 01 RAILROAD MEDICARE
290890500 05 FL
institution
Provider Business Practice Location Address Details
Address
9981 S Healthpark Dr Ste 156
City
State
Zip
33908-3618
Phone Number
239-343-6341
Fax Number
239-343-6342
person
Provider Business Mailing Address Details
Address
9981 S Healthpark Dr Ste 156
City
State
Zip
33908-3618
Phone Number
239-343-6341
Fax Number
239-343-6342
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9101378 (Florida)
Definition
Definition to come...
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