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NPI Code Detail

MEDICARE: AARON GUEST PA-C

MEDICARE:   AARON  GUEST  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA16877CA
2363A00000XPhysician AssistantPA9116094FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3OPA168771OTHERCAMEDICARE OTHER ID

Other Identifiers

General Provider Information

NPI Number : 1992768642
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON GUEST PA-C
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-9696
Fax Number : 239-343-4198
Provider Business Practice Location Address
First Line : 8960 COLONIAL CENTER DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-7810
Country : US
Telephone Number : 239-343-9696
Fax Number : 239-343-4198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 10/12/2022

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Directions to “ AARON GUEST PA-C” Practice Location

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