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Individual

CARISSA STEMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4771 S CLEVELAND AVE, FORT MYERS, FL 33907-1317
(239) 343-9800
(239) 343-9848
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9800
(239) 343-9848

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9116585
FL
363A00000X
Physician Assistant
Primary
PA9116585
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126598300
FL
Enumeration date
12/08/2022
Last updated
04/09/2026
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