Healthcare Provider Details

I. General information

NPI: 1740229665
Provider Name (Legal Business Name): JOSEPH GAUTA MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 SW HEALTH PKWY SUITE 205
NAPLES FL
34109
US

IV. Provider business mailing address

1890 SW HEALTH PKWY SUITE 205
NAPLES FL
34109-0473
US

V. Phone/Fax

Practice location:
  • Phone: 239-592-1388
  • Fax: 239-593-3356
Mailing address:
  • Phone: 239-592-1388
  • Fax: 239-593-3356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DELIA DE LA ROSA
Title or Position: OFFICE MANAGER
Credential:
Phone: 239-564-6947