Organization
FORT MYERS EYE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY TYNDALL (ADMINISTRATOR)
(239) 791-0013
Entity
Organization
Contact information
Practice address
4790 BARKLEY CIR, BUILDING C UNIT 101, FORT MYERS, FL 33907-7543
(239) 277-1778
(239) 277-1779
Mailing address
4790 BARKLEY CIR, BUILDING C, UNIT 101, FORT MYERS, FL 33907-7543
(239) 277-1778
(239) 277-1779
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2009
Last updated
02/04/2010
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