Organization
SURGERY CENTER OF SOUTHWEST FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL R BRETTON MD (MEDICAL DIRECTOR)
(239) 939-4758
Entity
Organization
Contact information
Practice address
12631 WHITEHALL DR, FT MYERS, FL 33907-3626
(239) 939-4758
(239) 479-7874
Mailing address
12631 WHITEHALL DR, FT MYERS, FL 33907-3626
(239) 939-4758
(239) 479-7874
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1125
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075319000
—
FL
Enumeration date
05/11/2006
Last updated
02/01/2012
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