Organization
SUMMERLIN BEND SURGERY CENTER LLP
Active
Other names
Adult & Childrens Surgery Center of Southwest Florida
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA L KELLEY RN MBA (ADMINISTRATOR)
(239) 936-9700
Entity
Organization
Contact information
Practice address
5238 MASON CORBIN CT, STE 101, FT MYERS, FL 33907-7738
(239) 936-9700
(239) 936-9707
Mailing address
5238 MASON CORBIN CT, STE 101, FT MYERS, FL 33907-7738
(239) 936-9700
(239) 936-9707
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070785600
—
FL
Enumeration date
11/21/2005
Last updated
06/25/2012
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