Male or Other

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)

Code

363A00000X
363AM0700X

Primary Taxonomy

Yes
No

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

Provider Address

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