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Individual

JOHAN MARCEL SANCHEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
13340 METRO PKWY STE 400, FORT MYERS, FL 33966-4818
(239) 343-1105
(239) 343-4259
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1105
(239) 343-4259

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111925
FL
363AM0700X
Medical Physician Assistant
PA9111925
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102246200
FL
Enumeration date
02/09/2019
Last updated
11/19/2025
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