Pediatric Gastroenterology of Florida , PA

NPI #1093952152 in Fort Myers, Florida

Provider Information

NPI Number
1093952152
Entity Type
Organization
Organization Name
Pediatric Gastroenterology of Florida , PA
Primary Specialty
Pediatrics - Pediatric Gastroenterology
Enumeration Date
Jan 12, 2009
Last Updated
Mar 29, 2018

Practice Location

Address
13770 PLANTATION RD
Address 2
UNIT 4
State
Florida
ZIP Code
33912-4460
Phone
(239) 561-6365

Authorized Official

Name
DR. JAYSHREE GANATRA, M.D.
Title
PRESIDENT
Phone
(239) 561-6365

Specialties & Taxonomy Codes

Specialty
Pediatrics - Pediatric GastroenterologyPediatric Gastroenterology

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Individual Providers

Provider Name
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Organizations

Provider Name
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