| Doctor Name: | MISTY MICHELLE DESOMMA |
| NPI Number: | 1215995329 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.R.N.P. |
| License Number: | ARNP9179099 |
| Business Practice Address: | 15641 New Hampshire Ct Ft Myers, FL - 339084123 |
| Business Phone Number: | 2392754300 |
| Business Fax Number: | |
| Mailing Address: | 12778 Vista Pine Cir, FT MYERS |
| State: | FL |
| Postal Code: | 339137973 |
| Phone Number: | 2397683252 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | ARNP9179099 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |