Individual
MRS. SAMANTHA LEE ZAVADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2780 CLEVELAND AVE STE 811, FORT MYERS, FL 33901-5817
(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
363AS0400X
Surgical Physician Assistant
Primary
PA9113572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108861100
—
FL
Enumeration date
11/07/2020
Last updated
05/15/2024
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