Lara, Jose Gabriel

Lara, Jose Gabriel is an individual health care provider with primary practice located at 9981 S Healthpark Dr , Fort Myers FL 33908-3618. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Lara, Jose Gabriel can be contacted via phone (239) 343-5000.

Contact Information

Primary practice address
9981 S Healthpark Dr Fort Myers FL 33908-3618
Phone: (239) 343-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X

Profile Details

NPI number 1942822879
LBN Legal business name Lara, Jose Gabriel
Credentials AA-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2020
Last updated May 14th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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