Individual provider · Type 1 NPI
Juan Carlos Ibarra Moreno, SA-C
Surgical Assistant · Fort Myers, FL
Practice location
6150 Diamond Centre Ct Unit 1200
Fort Myers, FL 33912-7135
Fax (239) 344-9215
Mailing address
6150 Diamond Centre Ct # 1300
Fort Myers, FL 33912-4367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Assistant Primary | 246ZC0007X | 13-514 (FL) |
Surgical Assistant: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in h…
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About NPI 1780126219
Juan Carlos Ibarra Moreno, SA-C's National Provider Identifier is 1780126219, issued on Nov 15, 2016. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Fort Myers, FL. The record was last updated on Apr 10, 2020.