Organization
CARMEN MICHELLE LITZLER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINUTHA ASHWIN (CREDENTIALING SPECIALIST)
(615) 488-0706
Entity
Organization
Contact information
Practice address
13731 METROPOLIS AVE, FORT MYERS, FL 33912-7150
(239) 565-0978
Mailing address
13731 METROPOLIS AVE, FORT MYERS, FL 33912-7150
(239) 565-0978
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004727200
—
FL
Enumeration date
05/05/2022
Last updated
05/05/2022
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