Individual
SUNIL GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2111 SE OCEAN BLVD, STUART, FL 34996-3305
(772) 678-4442
(772) 219-5980
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0077598
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1094837
WELLCARE
FL
01
—
14332
DIMENSION HEALTH PPO
FL
05
—
257217600
—
FL
01
—
327962
AVMED
FL
01
—
4102369
CIGNA
FL
01
—
44958
BCBS
FL
01
—
5003102
AETNA
FL
01
—
P01584464
RR MEDICARE
FL
Enumeration date
07/09/2005
Last updated
10/12/2016
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