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

Individual provider Physician Assistant · NPI 1881365872

Mahalath Sabina Pongo, PA-C is a Physician Assistant in Fort Myers, Florida. Qualified in 2021, 5 years ago. Practices with Kagan Jugan and Associates PA, an 11-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
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

8380 Riverwalk Park Blvd Ste 100
Fort Myers, FL 33919-8758
Phone: (239) 343-9960
Fax: (239) 343-2997
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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 PA9114902 (FL)

Record details

NPI number1881365872
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 21, 2021
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kagan Jugan And Associates Pa — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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