Individual
ANTHONY D'ALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901
(239) 343-2606
(239) 343-3695
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3292
(239) 343-3695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101564
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008553900
—
FL
Enumeration date
08/17/2006
Last updated
11/15/2021
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