Organization
ELITE VISION SURGICAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASAIRA RODRIGUEZ TORRES (MEDICAL DIRECTOR)
(239) 936-2020
Entity
Organization
Contact information
Practice address
7970 SUMMERLIN LAKES DR STE 200, FORT MYERS, FL 33907-1855
(239) 936-2020
Mailing address
7970 SUMMERLIN LAKES DR STE 200, FORT MYERS, FL 33907-1855
(239) 936-2020
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
08/09/2024
Last updated
10/01/2024
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