Individual
AILEEN FIALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13691 METRO PKWY STE 300, FORT MYERS, FL 33912-4322
(239) 291-6970
Mailing address
13691 METRO PKWY STE 300, FORT MYERS, FL 33912-4322
(239) 291-6970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1163726
FL
Other
Enumeration date
06/08/2019
Last updated
05/09/2023
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