Individual
SURITA BANERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14551 HOPE CENTER LOOP STE 100, FORT MYERS, FL 33912-4705
(399) 362-3162
(239) 834-6106
Mailing address
3660 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316
(239) 834-6106
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
ME170772
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME170772
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2020
Last updated
10/09/2025
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