LEIA SULLIVAN

FORT MYERS, FL
NPI1104679240
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9118070)
Enumeration Date2024-04-09
Last Update Date2024-04-09
Business Address
LEIA SULLIVAN PAC
4790 BARKLEY CIR STE A
FORT MYERS, FL 33907-7593
Phone number: 239-275-8882
Mailing Address
LEIA SULLIVAN PAC
3331 CYPRESS LEGENDS CIR APT 1506
FORT MYERS, FL 33905-5555
Phone number:
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