Individual
ELENA GATSKEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13340 METRO PARKWAY, SUITE 310, FORT MYERS, FL 33966
(239) 343-1448
(239) 343-1449
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1448
(239) 343-1449
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME113188
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006257900
—
FL
Enumeration date
12/11/2007
Last updated
03/25/2021
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