IndividualActive
Josh Immitt, PA
NPI 1992336721 · Military Health Care Provider · Port Charlotte, FL
Provider details
- NPI number
- 1992336721
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Practice location
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone: (941) 255-3535
Fax: (941) 766-7999
Mailing address
2675 Winkler Ave Fl 2
Fort Myers, FL 33901-9342
Registry dates
- Enumerated
- 2020-01-30
- Last updated
- 2024-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.