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Contact Information

DOUGLAS GOTTSCHALK
16230 SUMMERLIN RD
SUITE 215
FORT MYERS, FL33908-5768
 Phone: 239-343-6050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for DOUGLAS GOTTSCHALK · (Male)

NPI Number 1598724619
Status Active
Credentials
Entity Individual
Enumeration date 03/18/2006
Last updated 12/14/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-4158
  • FL License # OS11438
  • TX License # M8003
  • FL Medicaid 005834300
  • TX Medicaid 209200902
Hospital affiliation(s)
  • WHITE RIVER MEDICAL CENTER - (Acute Care)
    1710 HARRISON STREET
    BATESVILLE, AR 72503
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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