Organization
WM DARRELL GASKINS LLC
Active
Parent organization
WM DARRELL GASKINS LLC
Other names
Naples Premier Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WM DARRELL GASKINS LLC
Authorized official
DR. LANI PHUONG VU MD (ADMINISTRATOR)
(239) 262-2020
Entity
Organization
Contact information
Practice address
2335 9TH ST N STE 304, NAPLES, FL 34103-4457
(239) 263-7750
(239) 263-1754
Mailing address
2335 9TH ST N STE 304, NAPLES, FL 34103-4457
(239) 263-7750
(239) 263-1754
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
997
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079218700
—
FL
01
—
3250454
AETNA
FL
01
—
490000959
RAILROAD RETIRE. MEDICARE
FL
01
—
69G
BLUE CROSS BLUE SHIELD FL
FL
01
—
7681241001
CIGNA
FL
Enumeration date
01/07/2007
Last updated
08/22/2019
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