SPECIALISTS IN UROLOGY SURGERY CENTER FORT MYERS – NPI #1912209800
Clinic/Center

SPECIALISTS IN UROLOGY SURGERY CENTER FORT MYERS is an AHC clinic located in FORT MYERS, FL. NPPES has assigned the NPI number 1912209800 to SPECIALISTS IN UROLOGY SURGERY CENTER FORT MYERS on November 26, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SPECIALISTS IN UROLOGY SURGERY CENTER FORT MYERS” is a dba name, the actual legal business name for this organization is SPECIALISTS IN UROLOGY SURGERY CENTER LLC. 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 8 years ago on Jun 21, 2018. 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 SPECIALISTS IN UROLOGY SURGERY CENTER FORT MYERS below.

NPI Profile for
SPECIALISTS IN UROLOGY SURGERY CENTER LLC

NPI Number
1912209800
Enumeration Date

(more than 15 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
SPECIALISTS IN UROLOGY SURGERY CENTER LLC
Doing Business As (dba): SPECIALISTS IN UROLOGY SURGERY CENTER FORT MYERS
Primary location
4571 COLONIAL BLVD
SUITE 200
FORT MYERS, FL 33966
Phone: (239) 434-6300 Fax: (239) 325-2285
Mailing address
4571 COLONIAL BLVD STE 200
FORT MYERS, FL 33966-1156
Phone: (239) 963-7365 Fax: (239) 322-5617
Organization Subpart
No
Authorized Official
JACQUELINE LUCIA
CHIEF ADMINISTRATIVE OFFICER
Phone: (239) 963-7365
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 1334

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.