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Individual

ALFRED GITU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2780 CLEVELAND AVE, SUITE 709, FORT MYERS, FL 33901
(239) 343-3831
(239) 343-2301
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3831
(239) 343-2301

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26496
SC
207Q00000X
Family Medicine Physician
Primary
ME113879
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006512800
FL
05
L26496
SC
Enumeration date
11/08/2006
Last updated
03/25/2021
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