Individual
JONATHAN FLETCHER MICHAELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13020 LIVINGSTON RD STE 14, NAPLES, FL 34105-5023
(239) 263-3330
Mailing address
7653 WINGED FOOT DR, FORT MYERS, FL 33967-5021
(239) 470-9269
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9111502
FL
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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