Individual
CODY GRAHAM VAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(239) 343-1614
(239) 343-3695
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1614
(239) 343-3695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9121049
FL
363A00000X
Physician Assistant
Primary
PA9121049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132299900
—
FL
Enumeration date
10/29/2025
Last updated
08/07/2026
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