Individual
DANA LEEANN SHAPCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13685 DOCTORS WAY STE 350, FORT MYERS, FL 33912-4347
(239) 343-3800
(239) 343-3993
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3800
(239) 343-3993
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113408200
—
FL
Enumeration date
01/07/2022
Last updated
06/26/2024
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