Individual
JOHN WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7152 COCA SABAL LN, FORT MYERS, FL 33908-4263
(239) 939-9939
(239) 931-5060
Mailing address
7152 COCA SABAL LN, FORT MYERS, FL 33908-4263
(239) 939-9939
(239) 931-5020
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009809200
—
FL
01
—
1376885996
NPI
FL
01
—
HC769Y
MEDICARE
FL
Enumeration date
03/21/2013
Last updated
09/04/2015
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