MAHALATH SABINA PONGO

FORT MYERS, FL
NPI1881365872
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9114902)
Enumeration Date2021-09-21
Last Update Date2022-06-01
Business Address
MAHALATH SABINA PONGO PA-C
8380 RIVERWALK PARK BLVD STE 100
FORT MYERS, FL 33919-8758
Phone number: 239-343-9960
Mailing Address
MAHALATH SABINA PONGO PA-C
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-9960
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