Pediatric Gastroenterology Of Florida , Pa

LBN: Pediatric Gastroenterology Of Florida , Pa
Pediatric Gastroenterology Of Florida , Pa is an health care organization with primary practice located at 13770 Plantation Rd Unit 4, Fort Myers FL 33912-4460. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as the primary health care specialty. Pediatric Gastroenterology Of Florida , Pa can be contacted via phone (239) 561-6365, or through Ganatra, Jayshree via phone (239) 561-6365.

Contact Information

Primary practice address
13770 Plantation Rd Unit 4 Fort Myers FL 33912-4460
Fax: (239) 561-6264
Website:
Authorized official contact:
Name: Ganatra, Jayshree Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X ME82537 Florida

Profile Details

NPI number 1093952152
LBN Legal business name Pediatric Gastroenterology Of Florida , Pa
DBA Doing business as
Authorized official Ganatra, Jayshree Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2009
Last updated Mar 29th, 2018 - about 6 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 1093952152 NPPES
Florida MEDICAID 262706600

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