Organization
PARK CENTER FOR PROCEDURES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN S DAITCH MD (PHYSICIAN)
(239) 437-8000
Entity
Organization
Contact information
Practice address
8255 COLLEGE PKWY STE 100, FORT MYERS, FL 33919-5119
(239) 267-2900
(239) 337-6866
Mailing address
PO BOX 07122, FORT MYERS, FL 33919-0122
(239) 267-2900
(239) 337-6866
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2008
Last updated
06/03/2024
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