Individual provider · Type 1 NPI

Josh Immitt, PA

Military Health Care Provider · Port Charlotte, FL

NPI number 1992336721 Active

Practice location

19531 Cochran Blvd
Port Charlotte, FL 33948-2081

Call (941) 255-3535 Map

Fax (941) 766-7999

Mailing address

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

Other practice locations

  • Weed Army Community Hospital, Building 390, N Loop Road, Fpo, AA 92310 · (516) 423-9010

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

43 other providers at this address

About NPI 1992336721

Josh Immitt, PA's National Provider Identifier is 1992336721, issued on Jan 30, 2020. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Port Charlotte, FL. The record was last updated on Dec 4, 2024.