Organization
GULFSHORE SURGICAL ASSOCIATES PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT ANTONIO TITUS M.D. (OWNER)
(239) 774-4275
Entity
Organization
Contact information
Practice address
8340 COLLIER BLVD, SUITE #203, NAPLES, FL 34114
(239) 774-4275
(239) 774-4792
Mailing address
8340 COLLIER BLVD, SUITE #203, NAPLES, FL 34114
(239) 774-4275
(239) 774-4792
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME80817
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259382300
—
FL
01
—
35818
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/05/2007
Last updated
05/01/2008
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