Individual provider · Type 1 NPI

Pasquale John Defiore, PA-C

Physician Assistant · Fort Myers, FL

NPI number 1063413458 Active

Practice location

8350 Riverwalk Park Blvd Ste 4
Fort Myers, FL 33919-8759

Fax (239) 482-4353

Mailing address

12670 Creekside Ln Ste 202
Fort Myers, FL 33919-3370

Other practice locations

  • 12670 Creekside Ln Ste 202, Fort Myers, FL 33919-3370 · (239) 482-2663

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9102992 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063413458

Pasquale John Defiore, PA-C's National Provider Identifier is 1063413458, issued on Aug 9, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Myers, FL. The record was last updated on May 6, 2025.