NPI 1013261197

Jamison Dicus, PAC

Practitioner Surgical Physician Assistant Fort Myers, FL

Practice location

Address: 7370 College Pkwy STE 206, Fort Myers, FL 33907-5558
Phone: (512) 730-3056
Fax: (888) 730-1925
Mailing address: 13300 S Cleveland Ave STE 56, Fort Myers, FL 33907-3871

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA9106955 (FL)

Other Physician Assistant providers in Florida →

Registry record

NPI: 1013261197
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Oct 2012
Record last updated: 27 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.