Organization
CHILDREN'S GASTROENTEROLOGY OF SW FLORIDA
Active
Organization
CHILDREN'S GASTROENTEROLOGY OF SW FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN ROSIORU ROSS M.D. (MEMBER)
(239) 689-5100
Entity
Organization
Contact information
Practice address
9800 S HEALTHPARK DRIVE, SUITE 145, FORT MYERS, FL 33908
(239) 689-5100
Mailing address
9800 S HEALTHPARK DRIVE, SUITE 145, FORT MYERS, FL 33908
(239) 689-5100
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME69256
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253328600
—
FL
Enumeration date
01/16/2009
Last updated
01/16/2009
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