| Gtp Management Inc | |
|
8801 College Pkwy Suite 2 Ft Myers FL 33919-4882 | |
| (239) 482-0300 | |
| (239) 482-4757 |
| Full Name | Gtp Management Inc |
|---|---|
| Speciality | Chiropractor - Neurology |
| Location | 8801 College Pkwy, Ft Myers, Florida |
| Authorized Official Name and Position | George S Petryk (PRESIDENT) |
| Authorized Official Contact | 2394820300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gtp Management Inc 15880 Summerlin Rd Ste 300 Pmb 106 Fort Myers FL 33908-9613 Ph: (239) 482-0300 | Gtp Management Inc 8801 College Pkwy Suite 2 Ft Myers FL 33919-4882 Ph: (239) 482-0300 |
| NPI Number | 1184677288 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 06/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184677288 | NPI | - | NPPES |
| 94780 | Other | FL | BC/BS GROUP PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS7123 (Florida) | Secondary |
| 111NN0400X | Chiropractor - Neurology | CH8431 (Florida) | Primary |
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Fort Myers Internal Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13861 Plantation Rd Unit 104, Ft Myers, FL 33912 Phone: 239-225-1306 Fax: 239-768-1313 | |
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