Organization
ADVANCED LAPAROSCOPIC SURGERY OF FORT MYERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK THOMAS MCGRAW M. D. (OWNER)
(239) 209-7543
Entity
Organization
Contact information
Practice address
615 WILLIAMS AVE, SUITE 101, LEHIGH ACRES, FL 33972-7954
(239) 303-5273
(866) 586-6004
Mailing address
615 WILLIAMS AVE, SUITE 101, LEHIGH ACRES, FL 33972-7954
(239) 209-7543
(866) 586-6004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME96681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178150564104
HUMANA
FL
01
—
18294
BLUE CROSS BLUE SHIELD
FL
01
—
2822788
UNITED
FL
01
—
3954998
CIGNA
FL
01
—
9344077
AETNA
FL
Enumeration date
07/26/2007
Last updated
07/23/2009
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