Individual
ALISON RIDGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14601 HOPE CENTER LOOP, FORT MYERS, FL 33912-4707
(239) 334-7000
(239) 334-7070
Mailing address
14601 HOPE CENTER LOOP, FORT MYERS, FL 33912-4707
(239) 334-7000
(239) 334-7070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9106672
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9106672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008610900
—
FL
01
—
0599681
GHI PPO
FL
01
—
0664623
AETNA PPO
FL
01
—
0905258
UHC
FL
01
—
1716925002
CIGNA HMO
FL
01
—
4130734
AETNA HMO
FL
01
—
592207264
CIGNA PPO
FL
01
—
592207264E
HUMANA
FL
01
—
Y0C9U
BCBS
FL
Enumeration date
11/08/2011
Last updated
09/19/2023
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