CARMEN MICHELLE LITZLER PA NPI 1407592272

NPI Information

NPI: 1407592272
Provider Name: CARMEN MICHELLE LITZLER PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
13731 METROPOLIS AVE
FORT MYERS, FL
ZIP 33912
Phone: (239) 565-0978
Get Directions

CARMEN MICHELLE LITZLER PA is a medical physician assistant in Fort Myers, FL. CARMEN MICHELLE LITZLER PA NPI is 1407592272. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13731 METROPOLIS AVE
FORT MYERS, FL
ZIP 33912-150
Phone: (239) 565-0978

The provider's authorized official is Minutha Ashwin .
The authorized official title is Credentialing Specialist and has the following contact phone number (615) 488-0706.

The enumeration date for this NPI number is 5/5/2022 and was last updated on 5/5/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004727200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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