Organization
LUCENT PHYSICIAN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINJAL SURYAWALA MD (OWNER)
(469) 733-0196
Entity
Organization
Contact information
Practice address
2575 NORTHBROOKE PLAZA DR UNIT 207, NAPLES, FL 34119-8099
(239) 919-4342
(239) 919-4342
Mailing address
2338 IMMOKALEE RD # 203, NAPLES, FL 34110-1445
(239) 919-4342
(239) 919-4342
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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