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

J. Robert South, PA

Individual provider Physician Assistant · NPI 1477563542

J. Robert South, PA is a Physician Assistant in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
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

3920 Michigan Ave
Fort Myers, FL 33916-2205
Phone: (239) 332-9501
Fax: (239) 332-9553
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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 PA1641 (FL)

Record details

NPI number1477563542
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESJuly 9, 2007

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