Individual
DANIKA CLAIRE CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17393 MISSOURI RD, FORT MYERS, FL 33967-2832
(239) 293-4749
Mailing address
6413 JENNY DR, LAKE WALES, FL 33898-8919
(863) 330-3136
(863) 368-8008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
PA9110803
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1143937
NCCPA
—
01
—
PA9110803
FL BOARD OF MEDICINE
FL
Enumeration date
11/19/2017
Last updated
02/12/2026
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