Individual
DR. DOUGLAS GOTTSCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16230 SUMMERLIN RD, SUITE 215, FORT MYERS, FL 33908-5768
(239) 343-6050
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-1400
(239) 424-1421
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
E-4158
AR
207YP0228X
Pediatric Otolaryngology Physician
M8003
TX
207YP0228X
Pediatric Otolaryngology Physician
Primary
OS11438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005834300
—
FL
05
—
209200902
—
TX
Enumeration date
03/18/2006
Last updated
12/14/2016
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