Provider Demographics
NPI:1730163759
Name:SAINT PAUL, CECILE (MD)
Entity type:Individual
Prefix:DR
First Name:CECILE
Middle Name:
Last Name:SAINT PAUL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1412 ROYAL PALM SQUARE BLVD
Mailing Address - Street 2:STE 102
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-1075
Mailing Address - Country:US
Mailing Address - Phone:239-274-9700
Mailing Address - Fax:239-274-9703
Practice Address - Street 1:1412 ROYAL PALM SQUARE BLVD
Practice Address - Street 2:STE 102
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-1075
Practice Address - Country:US
Practice Address - Phone:239-274-9700
Practice Address - Fax:239-274-9703
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME55639207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL09665OtherBCBS
FL062088200Medicaid
E99798Medicare UPIN
FL062088200Medicaid