Organization
GASTROENTEROLOGY CONSULTANTS OF SW FL, PA
Active
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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