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

Pediatric Gastroenterology of Florida , PA

Organization Pediatric Gastroenterology Physician · NPI 1093952152

Pediatric Gastroenterology of Florida , PA is a Pediatric Gastroenterology Physician in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
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

13770 Plantation Rd Unit 4
Fort Myers, FL 33912-4460
Phone: (239) 561-6365
Fax: (239) 561-6264
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence ME82537 (FL)

Record details

NPI number1093952152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jayshree Ganatra — President · (239) 561-6365
NPI enumeratedJanuary 12, 2009
Last updated in NPPESMarch 29, 2018
Mailing address13770 Plantation Rd, Unit 4, Fort Myers, FL 33912

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