GINA TRACY MITAS APRN NPI 1942842026

NPI Information

NPI: 1942842026
Provider Name: GINA TRACY MITAS, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SURGICAL HEALING ARTS CENTER, LLC

PECOS Registration: Yes

Address:
13681 DOCTORS WAY
FORT MYERS, FL
ZIP 33912
Phone: (239) 343-1000
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Gina Tracy Mitas, APRN is a family nurse practitioner in Fort Myers, FL with 4 years of experience. Gina Tracy Mitas, APRN NPI is 1942842026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13681 DOCTORS WAY
FORT MYERS, FL
ZIP 33912-300
Phone: (239) 343-1000

The NPI 1942842026 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/10/2019 and was last updated on 9/4/2020.

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	163W00000X	Registered Nurse		RN9200588	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	APRN11008490	FLORIDA	Yes

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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