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Organization

SOLEIL MEDICAL AND SURGERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAXIMILIAN R PADILLA MD (CEO)
(239) 415-7576
Entity
Organization

Contact information

Practice address
11571 VERANDAH BLVD, FORT MYERS, FL 33905-6241
(239) 699-0733
Mailing address
18310 MATT RD, NORTH FORT MYERS, FL 33917-4350
(239) 699-0733

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
07/12/2023
Last updated
12/05/2023
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