Individual
DR. GAURAV NAYYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16271 BASS RD, FORT MYERS, FL 33908-3616
(239) 343-7100
(239) 343-7190
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-7100
(239) 343-7190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME114840
FL
207R00000X
Internal Medicine Physician
MT183291
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010030900
—
FL
01
—
ME114840
MEDICAL LICENSE
FL
01
—
MED LIC NUMBER
MT183291
PA
Enumeration date
04/26/2007
Last updated
03/29/2021
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