Organization
PRIME SURGERY CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE O'BRIEN (MANAGER)
(954) 552-8476
Entity
Organization
Contact information
Practice address
63 BARKLEY CIR, FORT MYERS, FL 33907-4514
(954) 552-8476
Mailing address
201 N PINE ISLAND RD, PLANTATION, FL 33324-1819
(954) 552-8476
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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