Provider Demographics
NPI:1063257335
Name:GUNTER, SONYA A (PA)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:A
Last Name:GUNTER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:839 AUGUST ST SE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32909-3748
Mailing Address - Country:US
Mailing Address - Phone:434-465-1189
Mailing Address - Fax:
Practice Address - Street 1:6376 PINE RIDGE RD UNIT 300
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-3908
Practice Address - Country:US
Practice Address - Phone:239-348-4279
Practice Address - Fax:239-348-4438
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-28
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty