Individual
MRS. SULAYMI MURILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 MEDICAL LANE STE 4, FORT MYERS, FL 33907-1116
(239) 334-6160
(239) 334-1339
Mailing address
2320 SW 18TH PLACE, CAPE CORAL, FL 33991-3507
(239) 334-6160
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9569899
FL
222Q00000X
Developmental Therapist
Primary
—
FL
222Q00000X
Developmental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117912800
—
FL
01
—
M640780799160
DRIVER LICENSE
FL
Enumeration date
08/16/2018
Last updated
06/12/2023
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