Organization
SURGICAL CONSULTANTS OF SOUTHWEST FLORIDA, LLC
Active
Other names
Gulf Coast Bariatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS L BASS MD (PRESIDENT)
(239) 494-8777
Entity
Organization
Contact information
Practice address
4519 TILTON CT, FORT MYERS, FL 33907-1214
(239) 494-8777
(239) 288-7139
Mailing address
4519 TILTON CT, FORT MYERS, FL 33907-1214
(239) 494-8777
(239) 288-7139
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME66691
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003437100
—
FL
01
—
EU499A
PTAN
FL
Enumeration date
10/07/2008
Last updated
06/04/2024
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