Organization
GASTROENTEROLOGY ASSOCIATES OF SOUTHWEST FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEEKAYTAN SHARMA M.D. (MEDICAL DIRECTOR)
(239) 275-8882
Entity
Organization
Contact information
Practice address
4790 BARKLEY CIR, BUILDING A, FT MYERS, FL 33907-7543
(239) 275-8882
(239) 275-6304
Mailing address
4790 BARKLEY CIR, BUILDING A, FT MYERS, FL 33907-7543
(239) 275-8882
(239) 275-6304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2400027
GHI
FL
05
—
370377100
—
FL
01
—
39058
BCBS
FL
01
—
8720453
AETNA
FL
01
—
CL0683
RAILROAD MEDICARE
FL
Enumeration date
11/23/2005
Last updated
10/28/2022
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