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

Mark Braganza

Individual provider Physician Assistant · NPI 1609537588

Mark Braganza is a Physician Assistant in Fort Myers, Florida. Qualified in 2023, 3 years ago. Practices with Cep America LLC, a 985-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2022

Practice location Address checks out

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone: (239) 343-1614
Fax: (239) 343-3695
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3200 S University Dr, Davie, FL 33328-2018 — (954) 262-1250

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9118063 (FL)

Record details

NPI number1609537588
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 4, 2022
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 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 Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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