FORT MYERS ENDOSCOPY CENTER LLC – NPI #1730355595
Clinic/Center

FORT MYERS ENDOSCOPY CENTER LLC is an AHC clinic located in FORT MYERS, FL. NPPES has assigned the NPI number 1730355595 to FORT MYERS ENDOSCOPY CENTER LLC on May 01, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 17 years ago on Jul 10, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FORT MYERS ENDOSCOPY CENTER LLC below.

NPI Profile for
FORT MYERS ENDOSCOPY CENTER LLC

NPI Number
1730355595
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FORT MYERS ENDOSCOPY CENTER LLC
Primary location
5050 MASON CORBIN CT
FORT MYERS, FL 33907-4541
Phone: (239) 482-2281 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SURESH CHAVAKULA
MEDICAL DIRECTOR
Phone: (239) 482-2280
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 FL 996

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.