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

Individual provider Surgical Physician Assistant · NPI 1679199913

Roxanne Raiola, PA-C is a Physician Assistant in Fort Myers, Florida. Qualified in 2020, 6 years ago. Practices with Lee Health System Inc, a 1,375-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Florida.

Years since qualifying
6
Licensed in
CT, FL
In the registry since
2020
Specialties on file
3
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) 343-9977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20 York St, New Haven, CT 06510-3220 — (203) 688-4242

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9118791 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 4935 (CT)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1679199913
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 23, 2020
Last updated in NPPESApril 10, 2025
Certification dateApril 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lee Health System Inc — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fort Myers