Gulf Coast Internal Medicine PA
NPI #1114125606 in Fort Myers, Florida
Provider Information
- NPI Number
- 1114125606
- Entity Type
- Organization
- Organization Name
- Gulf Coast Internal Medicine PA
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 5, 2007
- Last Updated
- Jan 27, 2009
Practice Location
- Address
- 14131 METROPOLIS AVENUE
- Address 2
- SUITE 106
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33912-9383
- Phone
- (239) 561-8880
Authorized Official
- Name
- TANZEEN AHMED
- Title
- OWNER
- Phone
- (239) 986-0259
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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