Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Richard Pine Jr., PA

Individual provider Medical Physician Assistant · NPI 1447234109

Anthony Richard Pine Jr., PA is a Physician Assistant in Fort Myers, Florida. Qualified in 2001, 25 years ago. Practices with Primehealth Urgent Care LLC, an 18-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
25
Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2776 Cleveland Ave
Fort Myers, FL 33901-5855
Phone: (239) 343-2606
Fax: (239) 343-3695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9101826 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9101826 (FL)

Record details

NPI number1447234109
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 5, 2005
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Primehealth Urgent Care Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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