Individual
ANGELA CHERNYSHOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(855) 979-5700
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
PA9106219
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9106219
FL
Other
Enumeration date
10/21/2011
Last updated
03/06/2025
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