Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Gastroenterology Consultants of SW Fl, PA

Organization Specialist · NPI 1417099029

Gastroenterology Consultants of SW Fl, PA provides Specialist services 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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