Individual provider · Type 1 NPI

Mylissa Persons, PA-C

Medical Physician Assistant · Port Charlotte, FL

NPI number 1992132328 Active

Practice location

4130 Tamiami Trl
Port Charlotte, FL 33952-9207

Call (941) 727-7100 Map

Fax (941) 787-7101

Mailing address

2675 Winkler Ave Fl 2
Fort Myers, FL 33901-9342

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9107484 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1992132328

Mylissa Persons, PA-C's National Provider Identifier is 1992132328, issued on Sep 30, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Port Charlotte, FL. The record was last updated on Jan 10, 2024.