Individual provider · Type 1 NPI

Jamison Dicus, PA-C

Surgical Physician Assistant · Fort Myers, FL

NPI number 1013261197 Active

Practice location

7370 College Pkwy Ste 206
Fort Myers, FL 33907-5558

Call (512) 730-3056 Map

Fax (888) 730-1925

Mailing address

13300 S Cleveland Ave Ste 56
Fort Myers, FL 33907-3871

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9106955 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1013261197

Jamison Dicus, PA-C's National Provider Identifier is 1013261197, issued on Oct 29, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Myers, FL. The record was last updated on Nov 27, 2023.