J. ROBERT SOUTH

FORT MYERS, FL
NPI1477563542
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA1641)
Enumeration Date2006-08-09
Last Update Date2007-07-09
Business Address
-- J. ROBERT SOUTH PA
3920 MICHIGAN AVE
FORT MYERS, FL 33916-2205
Phone number: 239-332-9501
Mailing Address
-- J. ROBERT SOUTH PA
3920 MICHIGAN AVE
FORT MYERS, FL 33916-2205
Phone number: 239-332-9501
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