Individual
DR. GARY D. JOSEPHSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16410 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908-9621
(239) 343-7474
(239) 343-4190
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-7474
(239) 343-4190
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME73739
FL
207YP0228X
Pediatric Otolaryngology Physician
ME73739
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000870504A
—
GA
05
—
252814201
—
FL
Enumeration date
08/10/2006
Last updated
02/09/2024
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