Dr. Douglas Gottschalk
Pediatric Otolaryngology
16230 Summerlin Rd Suite 215
Fort Myers
, Florida 33908-5768
Dr. Douglas Gottschalk
Pediatric Otolaryngology
16230 Summerlin Rd Suite 215
Fort Myers
, Florida 33908-5768
(239) 424-1421
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Douglas Gottschalk
- Po Box 2147
- Fort Myers, FL
- Zip : 33902-2147
- Fax : (239) 424-1421
- Phone : (239) 424-1400
Second Address
- Dr. Douglas Gottschalk
- 16230 Summerlin Rd Suite 215
- Fort Myers, FL
- Zip : 33908-5768
- Phone : (239) 343-6050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207YP0228X | Pediatric Otolaryngology | E-4158 | AR |
| N | 207YP0228X | Pediatric Otolaryngology | M8003 | TX |
| Y | 207YP0228X | Pediatric Otolaryngology | OS11438 | FL |
National Provider Identifier
| NPI | 1598724619 |
|---|---|
| Provider Name | Dr. Douglas Gottschalk |
| First Address | Fort Myers, FL 33902-2147 |
| Second Address | Fort Myers, FL 33908-5768 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/03/2006 |
| Last Update Date | 14/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 005834300 | (05) | FL |
| 209200902 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.