GULFSHORE UROLOGY – NPI #1275917304
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

GULFSHORE UROLOGY is an urologist located in FORT MYERS, FL. NPPES has assigned the NPI number 1275917304 to GULFSHORE UROLOGY on July 18, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GULFSHORE UROLOGY” is a dba name, the actual legal business name for this organization is 21ST CENTURY ONCOLOGY LLC. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 7 years ago on Jul 15, 2019. 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 GULFSHORE UROLOGY below.

NPI Profile for
21ST CENTURY ONCOLOGY LLC

NPI Number
1275917304
Enumeration Date

(about 11 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
21ST CENTURY ONCOLOGY LLC
Doing Business As (dba): GULFSHORE UROLOGY
Primary location
4571 COLONIAL BLVD
FORT MYERS, FL 33966-1156
Phone: (239) 322-5600 Fax: (239) 322-5610
Mailing address
2234 COLONIAL BLVD
FORT MYERS, FL 33907-1412
Phone: (239) 931-7342 Fax: (239) 931-7385
Organization Subpart
Yes - GULFSHORE UROLOGY is subpart of another organization.
Authorized Official
KIM COMMINS
CEO
Phone: (239) 931-7277
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
208800000X
- Urology (Primary)

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.