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NPI Code Detail

MEDICARE: ANGELIA LYNETTE SAKYI-AGYEKUM PA

MEDICARE:   ANGELIA LYNETTE SAKYI-AGYEKUM  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
1363A00000XPhysician AssistantFL

Other Identifiers

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

General Provider Information

NPI Number : 1316422199
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELIA LYNETTE SAKYI-AGYEKUM PA
Provider Business Mailing Address
First Line : 8291 DANI DR STE 101A
Second Line :
City : FORT MYERS
State : FL
Zip : 33966-8009
Country : US
Telephone Number : 239-931-6049
Fax Number : 239-931-4986
Provider Business Practice Location Address
First Line : 8291 DANI DR
Second Line : STE 100
City : FORT MYERS
State : FL
Zip : 33966-8021
Country : US
Telephone Number : 239-931-6049
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2018
Last Update Date : 03/05/2021

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Directions to “ ANGELIA LYNETTE SAKYI-AGYEKUM PA” Practice Location

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