Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gastroenterology Consultants of SW Fl, PA

Organization Specialist · NPI 1417099029

Gastroenterology Consultants of SW Fl, PA is a Specialist in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5050 Mason Corbin Ct
Fort Myers, FL 33907-4541
Phone: (239) 482-2280
Fax: (239) 482-2281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X
Specialist Taxonomy 174400000X
Anesthesiology Physician Taxonomy 207L00000X · Licence ME78992 (FL)

Record details

NPI number1417099029
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suresh Chavakula — Owner · (239) 482-2280
NPI enumeratedFebruary 12, 2007
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address5050 Mason Corbin Ct, Fort Myers, FL 33907-4541

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