Individual
PAIGE BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12670 CREEKSIDE LN STE 202, FORT MYERS, FL 33919-3370
(239) 482-2663
(239) 482-7585
Mailing address
12670 CREEKSIDE LN, FORT MYERS, FL 33919-3370
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9116699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9116699
FLORIDA MEDICAL LICENSE
FL
Enumeration date
10/19/2022
Last updated
05/07/2025
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