Individual
EMILY DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7335 GLADIOLUS DR, FORT MYERS, FL 33908-5101
(239) 985-1925
(239) 321-6044
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001762
CT
363A00000X
Physician Assistant
Primary
PA9105970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001762
CT LICENSE
CT
05
—
120009100
—
FL
01
—
1249030
WELLCARE
FL
01
—
398580
AVMED
FL
01
—
9378535
AETNA
FL
01
—
MA053876
COMMONWEALTH OF PENNSYLVANIA
PA
01
—
P01380565
RR MEDICARE
FL
01
—
P1005211
FREEDOM
FL
01
—
P954088
OPTIMUM
FL
01
—
RV750
MEDICARE HF
FL
01
—
Y08HB
BCBS OF FL
FL
Enumeration date
07/27/2007
Last updated
10/30/2023
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