Individual
JOSHUA FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
8380 RIVERWALK PARK BLVD, SUITE 100, FORT MYERS, FL 33919
(239) 343-9960
(239) 343-9977
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9960
(239) 343-9977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9325152
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN9325152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015234400
—
FL
Enumeration date
06/22/2015
Last updated
04/01/2021
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