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Organization
GULF SHORE INTERNAL MEDICINE, P.A.
Active
Organization
GULF SHORE INTERNAL MEDICINE, P.A.
Active
Other names
Roderick Nassif, D.O., P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
RODERICK NASSIF DO (OWNER)
(239) 440-6456
Entity
Organization
Contact information
Practice address
8991 DANIELS CENTER DR STE 105, FORT MYERS, FL 33912-0317
(239) 440-6456
(239) 236-0337
Mailing address
PO BOX 9279, JUPITER, FL 33468-9279
(239) 440-6456
(239) 236-0337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS8532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF4682
PALMETTO GBA GROUP
—
01
—
K9799
MEDICARE GROUP
FL
Enumeration date
03/05/2008
Last updated
11/25/2025
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