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Organization

GULFCOAST MD PA

Active
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Organization

GULFCOAST MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MELWYN SALVADORE DSOUZA M.D (CEO)
(239) 265-5586
Entity
Organization

Contact information

Practice address
13440 PARKER COMMONS BLVD STE 105, FORT MYERS, FL 33912-1816
(239) 225-6304
Mailing address
13440 PARKER COMMONS BLVD STE 105, FORT MYERS, FL 33912-1816
(239) 225-6304

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME89047
FL

Other

Enumeration date
04/27/2008
Last updated
04/21/2020
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