Individual
IRA S SAUNDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13782 PLANTATION RD, SUITE 201, FORT MYERS, FL 33912-4462
(239) 343-1105
(239) 343-1106
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1105
(239) 343-1106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016780600
—
FL
01
—
PA9104199
LICENSE
FL
Enumeration date
09/11/2007
Last updated
03/30/2021
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