Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | ME85932 | FL |
Y | 207RX0202X | Medical Oncology | ME85932 | FL |
NPI | 1295726933 |
---|---|
Provider Name | Dr. Paul W. Gonter |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Venice, FL 34292-7554 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 10/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
252556900 | (05) | FL |
D93228 | (02) | FL |