Individual
ANISA JANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
13782 PLANTATION RD STE 201, FORT MYERS, FL 33912-4462
(239) 468-0254
(239) 343-3958
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 468-0254
(239) 343-3958
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109118
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118264800
—
FL
Enumeration date
10/02/2015
Last updated
06/14/2023
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