Organization
SOUTHWEST FLORIDA PULMONARY SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KEVIN SPORN MD (PRESIDENT)
(239) 403-1060
Entity
Organization
Contact information
Practice address
1012 GOODLETTE RD N, SUITE 100, NAPLES, FL 34102-5463
(239) 403-1060
Mailing address
1012 GOODLETTE RD N, SUITE 100, NAPLES, FL 34102-5463
(239) 403-1060
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME 61415
FL
Other
Enumeration date
05/07/2006
Last updated
08/22/2020
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