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GULF SHORE INTERNAL MEDICINE P.A. NPI 1255501268


NPI Information

NPI: 1255501268
Provider Name: GULF SHORE INTERNAL MEDICINE, P.A.

Former Legal Business Name: RODERICK NASSIF, D.O., P.A.

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
13691 METRO PKWY STE 400
FORT MYERS, FL
ZIP 33912
Phone: (239) 440-6456
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GULF SHORE INTERNAL MEDICINE, P.A. is an internal medicine in Fort Myers, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. GULF SHORE INTERNAL MEDICINE, P.A. NPI is 1255501268. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Roderick Nassif, D.o., P.a..

The provider's business location address is:

13691 METRO PKWY STE 400
FORT MYERS, FL
ZIP 33912-349
Phone: (239) 440-6456
Fax: (239) 236-0337

The provider's authorized official is Lisa Nassif .
The authorized official title is Office Administrator and has the following contact phone number (561) 386-0600.

The enumeration date for this NPI number is 3/5/2008 and was last updated on 8/4/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineOS8532FLORIDAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K9799OTHERFLORIDAMEDICARE GROUP
2DF4682OTHERPALMETTO GBA GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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