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

Individual provider Physician Assistant · NPI 1578913992

Keri Mack, PA-C is a Physician Assistant in Fort Myers, Florida. Qualified in 2015, 11 years ago. Practices with Genesiscare USA of Florida LLC, a 171-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2016
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

7451 Gladiolus Dr
Fort Myers, FL 33908
Phone: (239) 689-8800
Fax: (239) 790-5471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3210 Cleveland Ave Ste 100, Fort Myers, FL 33901-7182 — (239) 936-6778

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9109378 (FL)

Record details

NPI number1578913992
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 16, 2016
Last updated in NPPESAugust 1, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Genesiscare Usa Of Florida Llc — 171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fort Myers