Individual
JOHNY WILLIAMCEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2780 CLEVELAND AVE, FORT MYERS, FL 33901-5858
(239) 343-8506
Mailing address
4320 MINDI AVE, NAPLES, FL 34112-6742
(239) 687-9455
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9400369
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
131543
FL
Other
Enumeration date
04/22/2020
Last updated
07/29/2020
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