Florida Gulf Internal Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME85496 Issued in FL

Legal business name

FLORIDA GULF INTERNAL MEDICINE PA

Practice address

9671 Gladiolus Dr
Unit 107
Fort Myers, FL 33908-7606

Phone

(239) 418-1118

Fax

(866) 464-0965

NPI assigned

Dec 9, 2006

Last updated

May 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Britto Chinnappan, MDNPI 1750477709

Title

President

Phone

(239) 418-1118

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBDHAD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Britto Chinnappan, MD

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1750477709
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1780744029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9671 GLADIOLUS DR",
            "address_2": "UNIT 107",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087606",
            "telephone_number": "239-418-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9671 GLADIOLUS DR",
            "address_2": "UNIT 107",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087606",
            "telephone_number": "239-418-1118",
            "fax_number": "866-464-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA GULF INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "CHINNAPPAN",
        "authorized_official_first_name": "BRITTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-418-1118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME85496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AC942",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Department of Health (Lee County Health Department)
• Florida Detox and Recovery Center, LLC
• Florida Gulf Coast Univeristy
• Florida Gulf Coast University
• Florida Gulf Coastuniversity Wellness Center
• Florida Heart Associates PL
• Florida Home Medical Equipment, Inc. (Atenda Home Medical Equipment)
• Florida Id Care LLC
• Florida Incisionless, LLC
• Florida Medical Rehab Group, Corp

• Internal Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.