GULF COAST INTERNAL MEDICINE PA NPI 1114125606

NPI Information

GULF COAST INTERNAL MEDICINE PA is a specialist in Fort Myers, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GULF COAST INTERNAL MEDICINE PA NPI is 1114125606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14131 METROPOLIS AVENUE
SUITE 106
FORT MYERS, FL
ZIP 33912-383
Phone: (239) 561-8880
Fax: (239) 561-8890

The provider's authorized official is Tanzeen Ahmed .
The authorized official title is Owner and has the following contact phone number (239) 986-0259.

The enumeration date for this NPI number is 7/5/2007 and was last updated on 1/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.