Organization
ATLANTIC UROLOGY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM COMMINS (PRESIDENT)
(239) 931-7277
Entity
Organization
Contact information
Practice address
199 VILLAGE CENTER BLVD, SUITE 100, MYRTLE BEACH, SC 29579-3589
(843) 236-4330
(843) 236-5253
Mailing address
2270 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/03/2014
Last updated
07/29/2019
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