Individual
MS. BERNICE D BAWAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8931 COLONIAL CENTER DR STE 100, FORT MYERS, FL 33905-7809
(239) 226-2727
(239) 939-9876
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011686
NY
363A00000X
Physician Assistant
PA9109387
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
05/15/2007
Last updated
02/06/2026
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