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Individual

JANETTE U. GAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13770 PLANTATION RD, SUITE 2, FORT MYERS, FL 33912-4301
(239) 275-0728
(239) 275-6947
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
ME0093273
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07476
UNIV. HLTHCR. PROVIDER #
FL
01
1230905
WELLCARE
FL
01
16080
BCBS PROVIDER NUMBER
FL
01
17-02964
UHC PROVIDER NUMBER
FL
05
272745500
FL
01
7585707
AETNA OTHER PROVIDER #
FL
01
7618345-001
CIGNA PROVIDER NUMBER
FL
01
ME93273
METCARE PROVIDER NUMBER
FL
01
P00313874
RAILROAD MEDICARE #
FL
Enumeration date
09/23/2005
Last updated
07/27/2016
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