Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Austin Robert Ysidro, PA-C

Individual provider Physician Assistant · NPI 1609636026

Austin Robert Ysidro, PA-C is a Physician Assistant in Fort Myers, Florida. Qualified in 2023, 3 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9981 S Healthpark Dr Ste 156
Fort Myers, FL 33908-3618
Phone: (239) 343-6341
Fax: (239) 343-6342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 46 Joan St, Williamsburg, KY 40769-2032 — (606) 344-7963

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9118543 (FL)

Record details

NPI number1609636026
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 21, 2024
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Myers