Gottschalk, Douglas
Gottschalk, Douglas is an individual health care provider with primary practice located at 16230 Summerlin Rd Suite 215, Fort Myers FL 33908-5768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Gottschalk, Douglas can be contacted via phone (239) 343-6050.Contact Information
Primary practice address
16230 Summerlin Rd Suite 215
Fort Myers FL 33908-5768
Phone: (239) 343-6050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | E-4158 | Arkansas |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | OS11438 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | M8003 | Texas |
Profile Details
| NPI number | 1598724619 |
|---|---|
| LBN Legal business name | Gottschalk, Douglas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2006 |
| Last updated | Dec 14th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598724619 | NPPES |
| Florida | MEDICAID | 005834300 | |
| Florida | MEDICAID | 209200902 |
Popular Providers
-
Fordham, Christine Arminda
16230 Summerlin Rd Ste 215 , Fort Myers FL 33908-5769 -
Zeiders, Jacob W
1505 S Andrews Ave , Fort Lauderdale FL 33316-2507 -
Smith, Howard Gary
145 W 67Th St Apt 4C , New York NY 10023-5930 -
Burton, Deborah M.
2550 Windy Hill Rd Se Ste 307, Marietta GA 30067-8665 -
Nagy, Mark L.
8207 Main St , Williamsville NY 14221-6060 -
Lander, Timothy Alan
910 E 26Th St Ste 323, Minneapolis MN 55404-4549 -
Patel, Nalin Jashbhai
3000 Medical Park Dr Suite 200, Tampa FL 33613-4680 -
Harris, George F
16230 Summerlin Rd Ste 215 , Fort Myers FL 33908-5769