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Individual

ANNIET BERNAL SOSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9800 S HEALTHPARK DR STE 110, FORT MYERS, FL 33908-3630
(239) 343-6202
(239) 343-4159
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6202
(239) 343-4159

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9121447
FL
363A00000X
Physician Assistant
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
131136200
FL
Enumeration date
01/29/2026
Last updated
07/23/2026
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