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Jacqueline Indrisek, PA
NPI 1427442011 · on the registry since 2015
Practice
- Address
- 22655 Bayshore Rd Ste 130
Port Charlotte, FL 33980 - Phone
- (941) 255-3722
- Fax
- (941) 255-3723
- Organisation at this address
- Lee Memorial Health System
Lee Memorial Health System
S W Nephrology Services Inc
Stepping Stone Kids Therapy Llc
Southwest Psychotherapy And Counseling Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 63
Additional practice sites
- 8260 Gladiolus Dr, Fort Myers, FL
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida