Individual provider · Type 1 NPI

Bruce A. Patzwahl, PA-C

Surgical Physician Assistant · Fort Myers, FL

NPI number 1194787804 Active

Practice location

12700 Creekside Ln, Suite 101
Fort Myers, FL 33919-3356

Call (239) 432-0774 Map

Fax (239) 432-9404

Mailing address

632 Del Prado Blvd N, Suite 101
Cape Coral, FL 33909-2278

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA1782 (FL)
Neurological Surgery Physician 207T00000XPA1782 (FL)
Medical Physician Assistant 363AM0700XPA1782 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1194787804

Bruce A. Patzwahl, PA-C's National Provider Identifier is 1194787804, issued on Apr 6, 2006. 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 Feb 12, 2013.