| Gi Providers Llc | |
|
13181 Ponderosa Way Fort Myers FL 33907-7821 | |
| (239) 732-1133 | |
| Not Available |
| Full Name | Gi Providers Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13181 Ponderosa Way, Fort Myers, Florida |
| Authorized Official Name and Position | David Gutstein (MEDICAL DOCTOR) |
| Authorized Official Contact | 2397321133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gi Providers Llc 13181 Ponderosa Way Fort Myers FL 33907-7821 Ph: (239) 732-1133 | Gi Providers Llc 13181 Ponderosa Way Fort Myers FL 33907-7821 Ph: (239) 732-1133 |
| NPI Number | 1437837804 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 09/26/2023 |
| Medicare PECOS PAC ID | 5193170546 |
|---|---|
| Medicare Enrollment ID | O20231005000292 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437837804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | David M Gutstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740279140 PECOS PAC ID: 3678504701 Enrollment ID: I20050829000159 |
| Provider Name | Wendy L Pfeiffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649641457 PECOS PAC ID: 9133422009 Enrollment ID: I20160127000913 |
| Provider Name | Adelaida D Alfonso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275121790 PECOS PAC ID: 2365858545 Enrollment ID: I20210312001979 |
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