Wolf Ismakov Jean Baptiste, PA-C

NPI #1992538300 in Fort Myers, Florida

Provider Information

NPI Number: 1992538300
Entity Type: Individual
Name: Wolf Ismakov Jean Baptiste, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 21, 2024
Last Updated: Oct 23, 2024

Practice Location

Address: 13681 DOCTORS WAY
City: Fort Myers
State: Florida
ZIP Code: 33912-4300
Phone: (239) 343-0434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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