Individual
ADIA VERNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1550 BARKLEY CIR, FORT MYERS, FL 33907-4539
(239) 938-2000
(239) 278-0404
Mailing address
1550 BARKLEY CIRCLE, FORT MYERS, FL 33907
(239) 938-2000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9118857
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124008800
—
FL
01
—
16266228
CAQH
—
01
—
BOTHN
BCBS
—
01
—
TJ193
PTAN
—
Enumeration date
07/29/2024
Last updated
04/17/2025
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