Organization
GASTROENTEROLOGY CONSULTANTS OF SW FL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SURESH CHAVAKULA MD (OWNER)
(239) 482-2280
Entity
Organization
Contact information
Practice address
5050 MASON CORBIN CT, FORT MYERS, FL 33907-4541
(239) 482-2280
(239) 482-2281
Mailing address
5050 MASON CORBIN CT, FORT MYERS, FL 33907-4541
(239) 482-2280
(239) 482-2281
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207L00000X
Anesthesiology Physician
ME78992
FL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257130700
—
FL
Enumeration date
02/12/2007
Last updated
10/22/2025
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