GINA TRACY MITAS (NPI# 1942842026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942842026 |
| Entity Type | Individual |
| Full Name | GINA TRACY MITAS |
| Credential | APRN |
| Practice Address |
13681 Doctors Way Fort Myers FL 33912-4300 |
| Mailing Address |
742 Long Lines Ln Lehigh Acres FL 33974-9773 |
| Practice Telephone | 2393431000 |
| Mailing Telephone | 2398412428 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN9200588 | FL | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11008490 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
13681 DOCTORS WAY |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286686 | Gary Sauer | Registered Nurse | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2020-05-12 |
| 1730718735 | Lee Memorial Health System | Pharmacy | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2020-04-02 |
| 1730715400 | Harjot Kaur Gill | Registered Nurse | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2020-03-13 |
| 1033768304 | Sarminder Kaur | Nurse Practitioner | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2019-09-09 |
| 1417442393 | Elyza Guzman | Nurse Anesthetist, Certified Registered | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2018-06-24 |
| 1104335660 | Mark Thetford | Registered Nurse | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2017-09-27 |
| 1881149649 | Ryan Hire | Pharmacist | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2016-08-22 |
| 1508214164 | Davit Onikashvili | Internal Medicine | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2016-05-24 |
| 1285081315 | Mohammad Awad | Internal Medicine | 13681 Doctors Way, Fort Myers, FL 33912 | 2016-05-18 |
| 1871955955 | Shobana Iyer | Internal Medicine | 13681 Doctors Way, Fort Myers, FL 33912-4300 | 2016-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384154 | Melissa Connors | Nurse Practitioner | 15609 Fiddlesticks Blvd, Fort Myers, FL 33912-3902 | 2020-10-18 |
| 1982202412 | Amanda Shively | Nurse Practitioner | 7951 Reflection Cove Dr Apt 102, Fort Myers, FL 33907-6560 | 2020-10-16 |
| 1205433828 | Kenneth Midoneck | Nurse Practitioner | 4445 Kings Barn Ct Unit 305, Fort Myers, FL 33916-8031 | 2020-10-06 |
| 1881218246 | Miraleen Patel | Nurse Practitioner | 5710 Trailwinds Dr Apt 524, Fort Myers, FL 33907-8338 | 2020-06-02 |
| 1194350348 | Zuleima Lozada | Nurse Practitioner | 13691 Metro Pkwy Ste 110a, Fort Myers, FL 33912-4348 | 2020-03-09 |
| 1962034686 | Kathleen A Shelton | Nurse Practitioner | 9371 Cypress Lake Dr Ste 16, Fort Myers, FL 33919-4945 | 2020-02-11 |
| 1275173155 | Optimal Healing Healthcare Services, LLC | Nurse Practitioner | 10143 Chesapeake Bay Dr, Fort Myers, FL 33913-9184 | 2020-01-08 |
| 1033760731 | Jaclyn Mason | Nurse Practitioner | 18431 Hawthorne Rd, Fort Myers, FL 33967-3276 | 2019-09-24 |
| 1245894419 | Sonya Brielle Hayhurst | Nurse Practitioner | 16026 Via Solera Cir Apt 102, Fort Myers, FL 33908-7706 | 2019-04-23 |
| 1083175871 | Jackelin Smith | Nurse Practitioner | 10685 Essex Square Blvd, Fort Myers, FL 33913-2612 | 2019-03-26 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
Please comment or provide details below to improve the information on GINA TRACY MITAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.