Individual
BARBARA J MAGGIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2426 WOODLAND BLVD, FORT MYERS, FL 33907-5841
(239) 275-8420
Mailing address
2426 WOODLAND BLVD, FT MYERS, FL 33907-5841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9101311
FL
363AM0700X
Medical Physician Assistant
PA9101311
FL
363AS0400X
Surgical Physician Assistant
PA9101311
FL
Other
Enumeration date
11/18/2005
Last updated
01/10/2008
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