Organization
ADVANCED COLORECTAL SURGERY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GLUCKMAN (OWNER)
(772) 419-0560
Entity
Organization
Contact information
Practice address
1050 SE MONTEREY RD, SUITE 202, STUART, FL 34994-4512
(772) 419-0560
Mailing address
1050 SE MONTEREY RD, SUITE 202, STUART, FL 34994-4512
(772) 419-0560
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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