Pastorik, Alise Marie

Pastorik, Alise Marie is an sole proprietor health care provider with primary practice located at 16271 Bass Rd , Fort Myers FL 33908-3616. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Pastorik, Alise Marie can be contacted via phone (239) 985-1925.

Contact Information

Primary practice address
16271 Bass Rd Fort Myers FL 33908-3616
Phone: (239) 985-1925
Fax: (239) 468-7929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN2878722 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN2878722 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN2878722 Florida

Profile Details

NPI number 1982625133
LBN Legal business name Pastorik, Alise Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2006
Last updated Dec 22nd, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1982625133 NPPES
Florida Other 500010049 RR MEDICARE
Florida MEDICAID 300951300 RR MEDICARE

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