Individual
AUSTIN THOMAS MASSOLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9800 S HEALTHPARK DR STE 200, FORT MYERS, FL 33908-3630
(239) 481-4111
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-8260
(239) 343-4258
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
FL
Other
Enumeration date
01/20/2025
Last updated
03/12/2025
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