Individual
GOURI SREEPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
23450 VIA COCONUT PT, ESTERO, FL 34135-1877
(239) 468-0144
(239) 343-4051
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 468-0144
(239) 343-4051
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME146160
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107092700
—
FL
Enumeration date
07/11/2011
Last updated
08/15/2023
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