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General NPI Number Information
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NPI Number | 1467476176
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Entity Type | Organization
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Legal Business Name | PERRY A GOTSIS MD P.A
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 680 2ND AVE N SUITE 2
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City | NAPLES
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State | FL
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Zip | 34102-5753
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Country | US
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Telephone | 239-263-8800
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Fax | 239-263-8300
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Provider Business Mailing Address
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Address Line | 680 2ND AVE N SUITE 2
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City | NAPLES
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State | FL
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Zip | 34102-5753
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Country | US
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Telephone | 239-263-8800
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Fax | 239-263-8300
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Authorized Official
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Title or Position | PRESIDENT
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Name | PERRY A GOTSIS
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Credential | MD
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Telephone | 239-263-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME38175
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License Number State | FL
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