Mr. Samuel Cyril P.A.
Physician Assistant in Wellington, FL(View on Map)
Full Name
Mr. Samuel Cyril P.A.
NPI Number
1104804210
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/09/2006
Specialties
(Taxonomies)Licenses
State
Florida
Florida
License Number
PA9102400
PA91024
Contact
Information
Purpose
Mailing
Location
Address
2160 COLONIAL BLVD
3347 S STATE ROAD 7 STE 101
City
Fort Myers
Wellington
State
FL
FL
Postal Code
33907-1410
33449-8148
Country
US
US
Telephone Number
(239) 931-7342
(561) 790-2111
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/12/2017