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1114320157
TRAVIS NEAGLE
FORT MYERS, FL
NPI
1114320157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA9108296)
Enumeration Date
2014-10-06
Last Update Date
2024-06-11
Business Address
TRAVIS NEAGLE PA
9981 S HEALTHPARK DR
FORT MYERS, FL 33908-3618
Phone number: 239-343-2052
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Mailing Address
TRAVIS NEAGLE PA
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-2052
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