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Contact Information

PEDIATRIC ENT OF SOUTHWEST FLORIDA PLLC
19 GEORGETOWN
FORT MYERS, FL33919-1088
 Phone: 210-216-5650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for PEDIATRIC ENT OF SOUTHWEST FLORIDA PLLC

NPI Number 1619389962
LBN Legal business name PEDIATRIC ENT OF SOUTHWEST FLORIDA PLLC
Authorized official DOUGLAS GOTTSCHALK - (SOLE PROPRIETOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2014
Last updated 05/21/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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