Organization
SOUTHWEST FLORIDA ENDOSCOPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANSI R PRABAKARAN M.D. (PRESIDENT)
(239) 275-6678
Entity
Organization
Contact information
Practice address
5050 MASON CORBIN CT, FORT MYERS, FL 33907-4541
(239) 275-6678
Mailing address
5050 MASON CORBIN CT, FORT MYERS, FL 33907-4541
(239) 275-6678
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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