Individual
WILLIAM MICHAEL FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1250 PINE RIDGE RD, SUITE 203, NAPLES, FL 34108-8913
(239) 261-2663
(263) 262-5633
Mailing address
1250 PINE RIDGE RD, SUITE 203, NAPLES, FL 34108-8913
(239) 261-2663
(263) 262-5633
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9106807
FL
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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