Individual
JENNIFER MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
21150 BISCAYNE BLVD STE 404, AVENTURA, FL 33180-1250
(305) 466-9111
(786) 248-0038
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PA9101096
FL
363A00000X
Physician Assistant
Primary
PA9101096
FL
Other
Enumeration date
03/12/2007
Last updated
05/24/2019
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