Individual
JOSE M ALMANZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3164 PALM BEACH BLVD STE 104-D, FORT MYERS, FL 33916-1579
(239) 590-8399
(239) 264-4982
Mailing address
3164 PALM BEACH BLVD STE 104-D, FORT MYERS, FL 33916-1579
(239) 590-8399
(239) 264-4982
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3284
FL
363AM0700X
Medical Physician Assistant
3284
FL
363AS0400X
Surgical Physician Assistant
3284
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292748900
—
FL
Enumeration date
01/31/2007
Last updated
02/20/2023
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