Jacqueline Indrisek, PA

Individual Active
NPI 1427442011
Medical Physician Assistant Port Charlotte, FL

Jacqueline Indrisek, PA is a medical physician assistant practicing in Port Charlotte, FL. The NPI was issued on March 23, 2015, and the record was last updated in NPPES on June 7, 2023. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA9108209 (FL)

Practice locations

22655 Bayshore Rd Ste 130
Port Charlotte, FL 33980-2005
Phone: (941) 255-3722
8260 Gladiolus Dr
Fort Myers, FL 33908-4156
Phone: (239) 437-5755

Local context

Active NPPES records list 43 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 14 of them within 10 miles.

The same primary taxonomy is listed by 2,879 in Florida and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Jacqueline Indrisek
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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