Basic Information
| Provider Information | |||||||||
| NPI: | 1356689343 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SAINVAL-AUGUSTIN | ||||||||
| FirstName: | GERLINE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | ARNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2325 WOODLAND BLVD | ||||||||
| Address2: | |||||||||
| City: | FORT MYERS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 339075838 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2392657744 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6950 OUTREACH WAY | ||||||||
| Address2: | |||||||||
| City: | NORTH PORT | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342873405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9418613820 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2013 | ||||||||
| LastUpdateDate: | 01/25/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 3086282 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.