Organization
GULFSTREAM UROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEIR DALLER MD (OWNER)
(239) 980-2302
Entity
Organization
Contact information
Practice address
14320 METROPOLIS AVE STE 1, FORT MYERS, FL 33912-4539
(239) 277-5770
(239) 985-1911
Mailing address
8931 COLONIAL CENTER DR, SUITE 100, FORT MYERS, FL 33905-7809
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME87076
FL
Other
Enumeration date
02/12/2015
Last updated
02/11/2020
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