Individual
JOSH IMMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
19531 COCHRAN BLVD, PORT CHARLOTTE, FL 33948-2081
(941) 255-3535
(941) 766-7999
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(778) 563-7748
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
12/04/2024
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