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Individual

JAYSHREE V GANATRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
13770 PLANTATION RD, UNIT 4, FORT MYERS, FL 33912-4460
(239) 561-6365
(239) 561-6264
Mailing address
13770 PLANTATION RD STE 4, FORT MYERS, FL 33912-4460
(239) 561-6365
(239) 561-6264

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME0082537
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262076600
FL
Enumeration date
06/10/2006
Last updated
04/05/2018
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