Individual
AMY B. STANFILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16230 SUMMERLIN RD, STE 215, FORT MYERS, FL 33908-5769
(239) 343-6050
(239) 343-6136
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6050
(239) 343-9909
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME94819
FL
2086S0120X
Pediatric Surgery Physician
Primary
ME94819
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006257600
—
FL
05
—
036118715
—
IL
Enumeration date
04/25/2007
Last updated
02/22/2023
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