Surgical Specialists Of Southwest Florida
LBN: Surgical Specialists Of Southwest Florida P.A.
Surgical Specialists Of Southwest Florida is an health care organization with primary practice located at 6821 Palisades Park Ct Suite 1, Fort Myers FL 33912-7131. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is the primary health care specialty.
Surgical Specialists Of Southwest Florida P.A. can be contacted via phone (239) 936-8555, or through Burtch, Gordon D via phone (239) 936-8555.
Contact Information
Primary practice address
6821 Palisades Park Ct Suite 1
Fort Myers FL 33912-7131
Phone: (239) 936-8555
Fax: (239) 936-5611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X |
Profile Details
| NPI number | 1033103437 |
|---|---|
| LBN Legal business name | Surgical Specialists Of Southwest Florida P.A. |
| DBA Doing business as | Surgical Specialists Of Southwest Florida |
| Authorized official | Burtch, Gordon D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jul 3rd, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033103437 | NPPES |
| Florida | MEDICAID | 052343700 |
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