Individual
JAMES GOSTIGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(239) 343-2606
(239) 343-3695
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2606
(239) 343-3695
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0059961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058353700
—
FL
01
—
14687
BLUE CROSS BLUE SHIELD
FL
01
—
230020
AMERIGROUP
FL
01
—
231209
AVMED
FL
Enumeration date
08/17/2006
Last updated
03/25/2021
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