Maidwell, Sandra
Maidwell, Sandra is an individual health care provider with primary practice located at 8440 Murano Del Lago Dr , Estero FL 34135-8615. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Maidwell, Sandra can be contacted via phone (239) 221-5402.Contact Information
Primary practice address
8440 Murano Del Lago Dr
Estero FL 34135-8615
Phone: (239) 221-5402
Fax: (833) 411-0515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9105482 | Florida |
Profile Details
| NPI number | 1326217746 |
|---|---|
| LBN Legal business name | Maidwell, Sandra |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 29th, 2008 |
| Last updated | Mar 20th, 2026 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326217746 | NPPES |
| Florida | MEDICAID | 006266800 | |
| Florida | Other | Y05AQ | |
| Florida | Other | PA9105482 |
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