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

Mitzi Melaine Ibarra

Individual provider Physician Assistant · NPI 1356178743

Mitzi Melaine Ibarra is a Physician Assistant in Fort Myers, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

4961 Royal Gulf Cir
Fort Myers, FL 33966-7006
Phone: (239) 687-4015
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9107877 (FL)

Record details

NPI number1356178743
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 18, 2024
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

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