| Florida Gulf Internal Medicine Pa | |
|
9671 Gladiolus Dr Unit 107 Fort Myers FL 33908-7606 | |
| (239) 418-1118 | |
| (866) 464-0965 |
| Full Name | Florida Gulf Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 9671 Gladiolus Dr, Fort Myers, Florida |
| Authorized Official Name and Position | Britto Chinnappan (PRESIDENT) |
| Authorized Official Contact | 2394181118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Gulf Internal Medicine Pa 9671 Gladiolus Dr Unit 107 Fort Myers FL 33908-7606 Ph: (239) 418-1118 | Florida Gulf Internal Medicine Pa 9671 Gladiolus Dr Unit 107 Fort Myers FL 33908-7606 Ph: (239) 418-1118 |
| NPI Number | 1780744029 |
|---|---|
| Provider Enumeration Date | 12/09/2006 |
| Last Update Date | 05/15/2024 |
| Medicare PECOS PAC ID | 4082713813 |
|---|---|
| Medicare Enrollment ID | O20070620000252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780744029 | NPI | - | NPPES |
| AC942 | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME85496 (Florida) | Primary |
| Provider Name | Britto Chinnappan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750477709 PECOS PAC ID: 0749263267 Enrollment ID: I20040607001626 |
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Lch- Peds Page Field Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4751 S Cleveland Ave, Fort Myers, FL 33907 Phone: 239-343-9888 Fax: 239-343-9968 | |
Lch-internal Medicine Matthew Drive Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Matthew Dr, Fort Myers, FL 33907 Phone: 239-343-8220 Fax: 239-468-7909 | |
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