Female

Ms. Kristin J. Ovadal PAC

Physician Assistant in Cape Coral, FL(View on Map)

Full Name

Ms. Kristin J Ovadal PAC

NPI Number

1063407930

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/15/2005

Specialties

(Taxonomies)

Code

363A00000X
363AM0700X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Wisconsin

License Number

PA9113677
608023

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 2147
2441 SURFSIDE BLVD STE 200

City

Fort Myers
Cape Coral

State

FL
FL

Postal Code

33902-2147
33914-3861

Country

US
US

Telephone Number

(239) 541-7500
(239) 541-7500

Identifiers

Identifier

108406800

Identifier State

FL

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

kovadal252455@Direct.leememorial.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

Y

Endpoint Location

Lee Memorial Health System2776 Cleveland AveFort Myers, FL339015864US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/14/2024

Provider Address

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