Individual
MS. ASHLEY RENEE FIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6201 ALLIANCE LN STE 100, FORT MYERS, FL 33912-7164
(239) 343-1176
(239) 468-7947
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1176
(239) 343-4238
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
PA9116656
FL
363A00000X
Physician Assistant
Primary
PA9116656
FL
363AS0400X
Surgical Physician Assistant
PA9116656
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116383700
—
FL
Enumeration date
10/17/2022
Last updated
08/12/2025
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