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BRUCE A. PATZWAHL PA-C
NPI 1194787804
Physician Assistant - Surgical in Fort Myers, FL

Active since April 06, 2006
12700 CREEKSIDE LN, SUITE 101, FORT MYERS, FL 33919(239) 432-0774(239) 432-9404 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bruce A. Patzwahl Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUCE A. PATZWAHL PA-C (NPI 1194787804) is an individual surgical provider in Fort Myers, Florida, licensed in Florida (PA1782) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1194787804
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBRUCE A. PATZWAHLCredential: PA-C
Location Address12700 CREEKSIDE LN, SUITE 101Fort Myers, FL 33919-3356
Mailing Address632 Del Prado Blvd N, Suite 101Cape Coral, FL 33909-2278 · (239) 772-5577 · Fax (239) 772-9961
Phone(239) 432-0774
Fax(239) 432-9404
Sole ProprietorNo
Enumeration DateApril 6, 2006
Last NPPES UpdateFebruary 12, 2013
✔ NPI 1194787804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA1782
Also ListedNeurological SurgeryTaxonomy 207T00000X · License PA1782 (FL)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA1782 (FL)
12700 CREEKSIDE LN, Fort Myers, FL 33919
Open in Google Maps ↗

Other Identifiers 4

Medicare NSC1290460001FL
Medicare PINE1522ZFL
Medicaid2902397-00FL
OtherY00LXFL · Bcbs

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT A GOLDMAN P.T.
Physical Therapist
12700 CREEKSIDE LN, SUITE 101
FORT MYERS, FL 33919
Lee County (239) 432-0774
GRETCHEN NELSON ARNP
Nurse Practitioner
12700 CREEKSIDE LN, SUITE 101
FORT MYERS, FL 33919
Lee County (239) 432-0774
TAMMARA BEZANSON APRN
Nurse Practitioner
12700 CREEKSIDE LN, STE 201
FORT MYERS, FL 33919
Lee County (239) 600-7808
KATHLEEN BELL ARNP
Nurse Practitioner (Adult Health)
12700 CREEKSIDE LN, SUITE 101
FORT MYERS, FL 33919
Lee County (239) 432-0774
FT MYERS DIGESTIVE HEALTH AND PAIN ASC LLC
Clinic/Center (Ambulatory Surgical)
12700 CREEKSIDE LN, SUITE 202
FORT MYERS, FL 33919
Lee County (239) 489-1660
GEORGE W SYPERT M.D.
Neurological Surgery
12700 CREEKSIDE LN, SUITE 101
FORT MYERS, FL 33919
Lee County (239) 432-0774
ELAINE JOY ARPIN M.D.
Neurological Surgery
12700 CREEKSIDE LN, SUITE 101
FORT MYERS, FL 33919
Lee County (239) 432-0774
MS. JACQUELYNN MARIE KUBAY ARNP,NP-C
Nurse Practitioner (Adult Health)
12700 CREEKSIDE LN, SUITE 101
FORT MYERS, FL 33919
Lee County (407) 797-8208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Patzwahl's NPI number?

The NPI number for Bruce Patzwahl is 1194787804. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Bruce Patzwahl located?

Bruce Patzwahl practices at 12700 Creekside Ln Suite 101, Fort Myers, FL 33919. The listed phone number is (239) 432-0774.

What is Bruce Patzwahl's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Bruce Patzwahl was last updated on February 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.