Individual
DR. MIRIAM AJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 275-3222
(239) 275-3103
Mailing address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 275-3222
(239) 275-3103
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME108380
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003854000
—
FL
Enumeration date
01/06/2010
Last updated
08/24/2011
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