10D1101739 CLIA NUMBER - SURGICAL SPECIALISTS OF SW FLORIDA

Laboratory Demographics

CLIA Number: 10D1101739

Facility Name: SURGICAL SPECIALISTS OF SW FLORIDA

Facility Address:
6821 PALISADES PARK CT STE 1
FORT MYERS, FL
ZIP 33912
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Facility Phone Number: (239) 936-8555

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1033103437

Taxonomy: 2086S0129X - Surgery
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

CLIA Record

Field Name	Field Value
CLIA Number	10D1101739
LAB Type	PHYSICIAN OFFICE
Facility Name	SURGICAL SPECIALISTS OF SW FLORIDA
Street	6821 PALISADES PARK CT STE 1
City	FORT MYERS
State	FL
ZIP	33912
Phone	(239) 936-8555

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This page was last updated on: 5/11/2023