Organization
GASTROENTEROLOGY SPECIALISTS OF SOUTHWEST FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN A MECKSTROTH M.D. (OWNER)
(239) 593-6201
Entity
Organization
Contact information
Practice address
1656 MEDICAL BLVD, SUITE 301, NAPLES, FL 34110-1423
(239) 593-6201
(239) 593-6202
Mailing address
1656 MEDICAL BLVD, SUITE 301, NAPLES, FL 34110-1423
(239) 593-6201
(239) 593-6202
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277871800
—
FL
Enumeration date
04/17/2007
Last updated
06/18/2014
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