Organization
PEDIATRIC ENT OF SOUTHWEST FLORIDA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS J GOTTSCHALK (SOLE PROPRIETOR)
(210) 216-5650
Entity
Organization
Contact information
Practice address
19 GEORGETOWN, FORT MYERS, FL 33919-1088
(210) 216-5650
Mailing address
19 GEORGETOWN, FORT MYERS, FL 33919-1088
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
—
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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