Organization
MOBILE ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA GANTZ (CFO)
(773) 756-5760
Entity
Organization
Contact information
Practice address
1007 TIVOLI DR, NAPLES, FL 34104-0863
(773) 756-5760
(773) 714-1229
Mailing address
8420 W BRYN MAWR AVE, SUITE 300, CHICAGO, IL 60631-3479
(773) 756-5760
(773) 714-1229
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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