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

Nathaly Pachon

Individual provider Surgical Physician Assistant · NPI 1306655147

Nathaly Pachon is a Physician Assistant in Fort Myers, Florida. Qualified in 2024, 2 years ago. Practices with Florida ENT Adult and Pediatric PA, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

4571 Colonial Blvd Ste 110
Fort Myers, FL 33966-1156
Phone: (239) 790-3480
Fax: (239) 244-2049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 9119301 (FL)

Record details

NPI number1306655147
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2025
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Florida Ent Adult And Pediatric Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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