Individual
INESA SVIRIDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7341 GLADIOLUS DR, FORT MYERS, FL 33908-5101
(239) 489-3420
Mailing address
6653 PLANTATION PRESERVE CIR N, FORT MYERS, FL 33966-8368
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/26/2020
Last updated
01/30/2020
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