Individual
ASHLEY MARIE MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13813 METRO PKWY, FORT MYERS, FL 33912-4343
(239) 938-1717
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013227600
—
FL
Enumeration date
05/03/2013
Last updated
07/16/2025
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