Healthcare Provider Details

I. General information

NPI: 1851937593
Provider Name (Legal Business Name): ANESTHESIA PROVIDERS OF FORT MYERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2019
Last Update Date: 04/27/2020
Certification Date: 04/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8380 RIVERWALK PARK BLVD STE 220
FORT MYERS FL
33919-8758
US

IV. Provider business mailing address

13181 PONDEROSA WAY
FORT MYERS FL
33907-7821
US

V. Phone/Fax

Practice location:
  • Phone: 239-215-4104
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID M GUTSTEIN
Title or Position: CEO
Credential: MD
Phone: 239-466-8838