MR. ROSS W KRAVETZ


Address: 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356
Phone: 2394320774

MR. ROSS W KRAVETZ (NPI# 1053694877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053694877
Entity Type Individual
Full Name MR. ROSS W KRAVETZ
Credential PA-C
Practice Address 12700 Creekside Ln
Suite 101
Fort Myers
FL 33919-3356
Mailing Address 632 Del Prado Blvd N
Suite 101
Cape Coral
FL 33909-2278
Practice Telephone 2394320774
Practice Fax Number 2394329404
Mailing Telephone 2397725577
Mailing Fax Number 2397729961
Enumeration Date 2011-09-28
Last Update Date 2013-03-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9106158 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12700 CREEKSIDE LN
SUITE 101
City FORT MYERS
State FL
Zip Code 33919-3356

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346241254 Athanassios Drimoussis Internal Medicine 12700 Creekside Ln, Ste 201, Fort Myers, FL 33919-3356 2005-08-02
1215410220 Nicholas Shelley Registered Nurse 12700 Creekside Ln, Fort Myers, FL 33919-3356 2018-09-14
1881025203 Dorothea Ann Tocco Physician Assistant 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 2013-12-11
1619310091 Kathleen Bell Nurse Practitioner 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 2013-04-16
1760726061 Jacquelynn Marie Kubay Nurse Practitioner 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 2012-11-27
1144415571 Robert A Goldman Physical Therapist 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 2007-09-10
1740358928 Elaine Joy Arpin Neurological Surgery 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 2006-12-04
1730256934 George W Sypert Neurological Surgery 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 2006-11-30
1578642336 Gretchen Nelson Physician Assistant 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 2006-11-03
1801859202 Douglas F. Savage Neurological Surgery 12700 Creekside Ln, Suite 101, Fort Myers, FL 33919-3356 2006-04-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073145942 Patricia June Briand Registered Nurse 4309 Mariner Way #307, Fort Myers, FL 33919 2020-02-10
1629556840 The Onyx Counseling Center, LLC Social Worker 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 2018-07-31
1366980187 My Precious Kids Therapy Center Inc Community/Behavioral Health 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 2017-02-01
1811342397 Kimberly Regenesis Substance Abuse Rehabilitation Facility 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 2016-05-03
1689030207 Balance for All, Inc. Acupuncturist 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 2016-01-12
1902275217 Kelly Jean Overton Physical Therapist 6341 Whiskey Creek Drive, Fort Myers, FL 33919 2015-09-16
1508125311 Charles Clark Dugan IIi Chiropractor 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 2012-05-14
1659641231 Dasha Bich Le Pharmacist 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 2012-01-12
1164792602 Gail Lee Rathbun Nurse Practitioner 6311 S. Pointe Blvd., Fort Meyers, FL 33919 2011-12-30
1871878173 Scott Kozlowski Behavioral Analyst 5335 Shalley Cir., Ft. Myers, FL 33919 2011-10-18
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043784432 Alex Richard Reynolds Physician Assistant 2700 Creekside Ln, Suit 101, Fort Myers, FL 33913 2019-01-18
1013261197 Jamison Dicus Physician Assistant 7370 College Pkwy Ste 206, Fort Myers, FL 33907-5558 2012-10-29
1902102445 Alisa K Romero Physician Assistant 12700 Creekside Lane, Suite 101, Fort Myers, FL 33919-3356 2011-02-01
1851691653 Leslie F Naoom Physician Assistant 2531 Cleveland Ave 1, Fort Myers, FL 33901-4900 2010-10-26
1942327366 Caroline N. Saleeby Physician Assistant 2531 Cleveland Ave Ste 1, Fort Myers, FL 33901-4900 2007-03-22
1295815298 Christina Marie Brushaber Physician Assistant 5216 Clayton Ct, Fort Myers, FL 33907-2116 2006-10-16
1952337636 Joseph Deily Iv Physician Assistant 9981 S Healthpark Dr Ste 120, Fort Myers, FL 33908 2006-06-24
1689640732 Ann V Brock Physician Assistant 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 2006-02-28
1326671553 Kelly Elizabeth Carney Physician Assistant 7331 College Pkwy Ste 300, Fort Myers, FL 33907-5524 2020-02-17
1114440534 Aleisha Nicole Rees Physician Assistant 6821 Palisades Park Ct Ste 1, Fort Myers, FL 33912-7131 2017-07-18
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Competitor

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City FORT MYERS
Zip Code 33919

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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