Lucent Physician Group LLC

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

LUCENT PHYSICIAN GROUP LLC

Practice address

2575 Northbrooke Plaza Dr Unit 207
Naples, FL 34119-8099

Phone

(239) 919-4342

Fax

(239) 919-4342

NPI assigned

Oct 23, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kinjal Suryawala, MD

Title

Owner

Phone

(469) 733-0196

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1134096027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 IMMOKALEE RD # 203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101445",
            "telephone_number": "239-919-4342",
            "fax_number": "239-919-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 NORTHBROOKE PLAZA DR UNIT 207",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341198099",
            "telephone_number": "239-919-4342",
            "fax_number": "239-919-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCENT PHYSICIAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "SURYAWALA",
        "authorized_official_first_name": "KINJAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-733-0196",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Lu
• Claire Nancie Lubin, APRN
• Anna Lucarelli
• Angela Rose Lucas
• Beth Marie Lucci, PT
• Luciano Boemi, M.D., P.a.
• Xavier Rafael Luciano
• Mallory Sheila Lucillo, MS, BCBA
• Linda P Lucombe, MD
• Tammy L Luettich, ARNP

• Pediatric Gastroenterology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Pediatric Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.