IndividualActive
Aleisha Thearle, PA-C
NPI 1114440534 · Surgical Physician Assistant · Fort Myers, FL
Provider details
- NPI number
- 1114440534
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 9110478 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6821 Palisades Park Ct Ste 1
Fort Myers, FL 33912-7131
Phone: (239) 210-4660
Approximate (ZIP-level) locationGet directions
Mailing address
5541 Spectra Cir Apt 203
Fort Myers, FL 33908-5384
Registry dates
- Enumerated
- 2017-07-18
- Last updated
- 2025-02-21
- Certified
- 2025-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.