Individual
DENISE M. WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8340 LAKEWOOD RANCH BLVD STE 260, LAKEWOOD RANCH, FL 34202-5182
(941) 218-1711
(941) 955-9806
Mailing address
5220 SUMMERLIN COMMONS BLVD FL 4, FORT MYERS, FL 33907-2149
(239) 232-1180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102425
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U6146Y
PTAN
FL
Enumeration date
07/06/2006
Last updated
01/08/2024
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