Individual
DONATA VAICIUNAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
21 BARKLEY CIR, FORT MYERS, FL 33907-7531
(239) 939-2616
(239) 939-9093
Mailing address
1419 SE 8TH TER STE 200, CAPE CORAL, FL 33990-3213
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OS021908
PA
208600000X
Surgery Physician
Primary
OS20401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15589404
CAQH
—
Enumeration date
03/01/2017
Last updated
08/14/2023
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