Individual
SANDRA CAULFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3571 DEL PRADO BLVD N STE 2, CAPE CORAL, FL 33909-5287
(239) 656-6300
(239) 656-6765
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(239) 656-6300
(239) 656-6765
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291202300
—
FL
01
—
970029584
RR MEDICARE
FL
01
—
Y0H8W
FLORIDA BLUE
FL
Enumeration date
05/12/2006
Last updated
12/19/2023
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