Gastroenterology Consultants Of Sw Fl, Pa

LBN: Gastroenterology Consultants Of Sw Fl, Pa
Gastroenterology Consultants Of Sw Fl, Pa is an health care organization with primary practice located at 5050 Mason Corbin Ct , Fort Myers FL 33907-4541. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Gastroenterology Consultants Of Sw Fl, Pa can be contacted via phone (239) 482-2280, or through Chavakula, Suresh via phone (239) 482-2280.

Contact Information

Primary practice address
5050 Mason Corbin Ct Fort Myers FL 33907-4541
Phone: (239) 482-2280
Fax: (239) 482-2281
Website:
Map and Directions
Authorized official contact:
Name: Chavakula, Suresh Doctor of Medicine (MD)
Phone: (239) 482-2280

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME78992 Florida

Profile Details

NPI number 1417099029
LBN Legal business name Gastroenterology Consultants Of Sw Fl, Pa
DBA Doing business as
Authorized official Chavakula, Suresh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 2nd, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417099029 NPPES
Florida MEDICAID 257130700

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