Organization
SURGICAL SPECIALISTS OF SOUTHWEST FLORIDA P.A.
Active
Other names
Surgical Specialists of Southwest Florida
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON D BURTCH (PRESIDENT)
(239) 936-8555
Entity
Organization
Contact information
Practice address
6821 PALISADES PARK CT, SUITE 1, FORT MYERS, FL 33912-7131
(239) 936-8555
(239) 936-5611
Mailing address
6821 PALISADES PARK CT, SUITE 1, FORT MYERS, FL 33912-7131
(239) 936-8555
(239) 936-5611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052343700
—
FL
Enumeration date
08/31/2005
Last updated
07/03/2014
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