Organization
SPECIALISTS IN UROLOGY SURGERY CENTER, LLC
Active
Parent organization
SPECIALISTS IN UROLOGY SURGERY CENTER, LLC
Other names
Sunergy Outpatient Surgery Center-Bonita Springs
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIALISTS IN UROLOGY SURGERY CENTER, LLC
Authorized official
MRS. LEA HARBOR (OFFICER)
(205) 545-2572
Entity
Organization
Contact information
Practice address
28930 TRAILS EDGE BOULEVARD, BONITA SPRINGS, FL 34134
(239) 231-7041
(844) 857-1822
Mailing address
28930 TRAILS EDGE BOULEVARD, BONITA SPRINGS, FL 34134
(239) 231-7041
(844) 857-1822
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076522800
—
FL
Enumeration date
07/25/2006
Last updated
04/14/2016
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