Organization · Type 2 NPI
Gulf Coast Internal Medicine PA
Specialist · Fort Myers, FL
NPI number
1114125606
Active
Practice location
14131 Metropolis Avenue, Suite 106
Fort Myers, FL 33912-9383
Fax (239) 561-8890
Mailing address
PO Box 6038
Fort Myers, FL 33911-6038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | ME81543 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
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About NPI 1114125606
Gulf Coast Internal Medicine PA's National Provider Identifier is 1114125606, issued on Jul 5, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Myers, FL. The record was last updated on Jan 27, 2009.