OrganizationActive
Lucent Physician Group LLC
NPI 1134096027 · Pediatric Gastroenterology Physician · Naples, FL
Provider details
- NPI number
- 1134096027
- Entity type
- Organization
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kinjal Suryawala, Owner(469) 733-0196
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2575 Northbrooke Plaza Dr Unit 207
Naples, FL 34119-8099
Phone: (239) 919-4342
Fax: (239) 919-4342
Approximate (ZIP-level) locationGet directions
Mailing address
2338 Immokalee Rd # 203
Naples, FL 34110-1445
Registry dates
- Enumerated
- 2025-10-23
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.