Organization
GASTROENTEROLOGY FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYSHREE V. GANATRA M.D. (PRESIDENT)
(239) 689-5100
Entity
Organization
Contact information
Practice address
9800 S HEALTHPARK DR, STE 102, FORT MYERS, FL 33908-7603
(239) 689-5100
(239) 689-5107
Mailing address
9800 S HEALTHPARK DR, STE 102, FORT MYERS, FL 33908-7603
(239) 689-5100
(239) 689-5107
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
FL
Other
Enumeration date
06/10/2006
Last updated
08/22/2020
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