Individual provider · Type 1 NPI

Leia Sullivan, PAC

Physician Assistant · Fort Myers, FL

NPI number 1104679240 Active

Practice location

4790 Barkley Cir Ste A
Fort Myers, FL 33907-7593

Call (239) 275-8882 Map

Mailing address

3331 Cypress Legends Cir Apt 1506
Fort Myers, FL 33905-5555

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9118070 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104679240

Leia Sullivan, PAC's National Provider Identifier is 1104679240, issued on Apr 9, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Myers, FL. The record was last updated on Apr 9, 2024.