MEDICARE: CECILE SAINT PAUL MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	ME 55639	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184877573
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CECILE SAINT PAUL MD PA

Provider Business Mailing Address
First Line	:	1412 ROYAL PALM SQUARE BLVD
Second Line	:	SUITE 102
City	:	FORT MYERS
State	:	FL
Zip	:	33919-1075
Country	:	US
Telephone Number	:	239-274-9700
Fax Number	:	239-274-9703

Provider Business Practice Location Address
First Line	:	1412 ROYAL PALM SQUARE BLVD
Second Line	:	SUITE 102
City	:	FORT MYERS
State	:	FL
Zip	:	33919-1075
Country	:	US
Telephone Number	:	239-274-9700
Fax Number	:	239-274-9703

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. CECILE SAINT PAUL
Credential	:	M.D.
Telephone Number	:	239-274-9700

Provider Enumeration Date	:	10/29/2008
Last Update Date	:	02/10/2009

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Directions to “CECILE SAINT PAUL MD PA ” Practice Location

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