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Organization
GASTROENTEROLOGY ASSOCIATES OF SOUTHWEST FLORIDA LLC
Active
Organization
GASTROENTEROLOGY ASSOCIATES OF SOUTHWEST FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEEKAYTAN SHARMA M.D. (MEDICAL DIRECTOR)
(239) 275-8882
Entity
Organization
Contact information
Practice address
4790 BARKLEY CIR, BUILDING A, FT MYERS, FL 33907-7543
(239) 275-8882
(239) 275-6304
Mailing address
4790 BARKLEY CIR, BUILDING A, FT MYERS, FL 33907-7543
(239) 275-8882
(239) 275-6304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2400027
GHI
FL
05
—
370377100
—
FL
01
—
39058
BCBS
FL
01
—
8720453
AETNA
FL
01
—
CL0683
RAILROAD MEDICARE
FL
Enumeration date
11/23/2005
Last updated
10/28/2022
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