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Crystal Weaks, PA-C
Surgical Physician Assistant in Fort Myers, Florida
NPI 1053348300

Crystal Weaks is a Surgical Physician Assistant based in Fort Myers, FL and is specialized in Surgical. Crystal Weaks practices in Fort Myers, FL and has the professional credentials of PA-C. The NPI Number for Crystal Weaks is 1053348300 and holds a License No. PA9100925 (Florida).

The current practice location address for Crystal Weaks is 8010 Summerlin Lakes Dr, Fort Myers, FL and can be reached out via phone at 239-939-1767 and via fax at 239-939-5895. You can also correspond with Crystal Weaks through the mailing address at 8010 SUMMERLIN LAKES DR, FORT MYERS, FL - 33907-1849 (mailing address contact number: 239-939-1767).

Location: 8010 Summerlin Lakes Dr, Fort Myers, FL, 33907-1849
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Provider Profile Details
NPI Number
1053348300
Provider Name
Crystal Weaks
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
8010 Summerlin Lakes Dr, Fort Myers, FL, 33907-1849
Phone Number
239-939-1767
Fax Number
239-939-5895
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
290598100 05 FL
P00145895 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
8010 Summerlin Lakes Dr
City
State
Zip
33907-1849
Phone Number
239-939-1767
Fax Number
239-939-5895
person
Provider Business Mailing Address Details
Address
8010 Summerlin Lakes Dr
City
State
Zip
33907-1849
Phone Number
239-939-1767
Fax Number
239-939-5895
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9100925 (Florida)
Definition
Definition to come...
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