Organization
SPECIALISTS IN UROLOGY SURGERY CENTER LLC
Active
Other names
Specialists In Urology Surgery Center Fort Myers
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE LUCIA (CHIEF ADMINISTRATIVE OFFICER)
(239) 963-7365
Entity
Organization
Contact information
Practice address
4571 COLONIAL BLVD, SUITE 200, FORT MYERS, FL 33966
(239) 434-6300
(239) 325-2285
Mailing address
4571 COLONIAL BLVD STE 200, FORT MYERS, FL 33966-1156
(239) 963-7365
(239) 322-5617
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1334
FL
Other
Enumeration date
11/26/2010
Last updated
06/21/2018
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