Individual provider · Type 1 NPI

Mishawn Ellen Fitzgerald, PA-C

Student in an Organized Health Care Education/Training Program · Riverview, FL

NPI number 1730083049 Active

Practice location

7215 Blue Beech Dr
Riverview, FL 33578-8685

Call (541) 821-0436 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730083049

Mishawn Ellen Fitzgerald, PA-C's National Provider Identifier is 1730083049, issued on Oct 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverview, FL. The record was last updated on Oct 8, 2026.