Individual
DEMI SOULET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13691 METROPOLIS AVE, FORT MYERS, FL 33912-4318
(888) 540-9660
(239) 561-3020
Mailing address
1512 WHISKEY CREEK DR, FORT MYERS, FL 33919-2702
(407) 247-7421
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
FL
Other
Enumeration date
01/22/2018
Last updated
04/27/2023
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