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Organization

FORT MYERS ENDOSCOPY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SURESH CHAVAKULA M.D. (MEDICAL DIRECTOR)
(239) 482-2280
Entity
Organization

Contact information

Practice address
5050 MASON CORBIN CT, FORT MYERS, FL 33907-4541
(239) 482-2281
Mailing address
5050 MASON CORBIN CT, FORT MYERS, FL 33907-4541
(239) 482-2281

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
996
FL

Other

Enumeration date
05/01/2008
Last updated
07/10/2009
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