Individual
MR. DAVID SEAN MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9711 COMMERCE CENTER CT STE 101, FORT MYERS, FL 33908-3817
(239) 939-2621
(239) 939-3875
Mailing address
9711 COMMERCE CENTER CT STE 101, FORT MYERS, FL 33908-3817
(239) 939-2621
(239) 939-3875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109807
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21549A
GROUP MEDICARE
—
01
—
PH419
PROVIDER MEDICARE
FL
Enumeration date
09/25/2016
Last updated
10/19/2022
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