AMITHA BENA OMONUWA

CAPE CORAL, FL
NPI1821310426
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9109689)
Enumeration Date2010-02-23
Last Update Date2021-03-29
Business Address
AMITHA BENA OMONUWA PA-C
708 DEL PRADO BLVD S STE 3
CAPE CORAL, FL 33990-2676
Phone number: 239-343-9960
Mailing Address
AMITHA BENA OMONUWA PA-C
PO BOX 2147
FORT MYERS, FL 33902-2147
Phone number: 239-343-9960