Dicus, Jamison

Dicus, Jamison is an sole proprietor health care provider with primary practice located at 7370 College Pkwy Ste 206 , Fort Myers FL 33907-5558. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Dicus, Jamison can be contacted via phone (512) 730-3056.

Contact Information

Primary practice address
7370 College Pkwy Ste 206 Fort Myers FL 33907-5558
Fax: (888) 730-1925
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9106955 Florida

Profile Details

NPI number 1013261197
LBN Legal business name Dicus, Jamison
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2012
Last updated Nov 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013261197 NPPES
Florida Other PA9106955 MEDICAL LICENSE

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