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MAHALATH PONGO, PA-C
PA-C
Physician Assistant
NPI: 1881365872IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA9114902(FL)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 8380 RIVERWALK PARK BLVD STE 100
FORT MYERS, FL 33919 - Phone
- (239) 343-9960
Quick Facts
- NPI
- 1881365872
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 5
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