SURGICAL SPECIALISTS OF SOUTHWEST FLORIDA P.A. NPI 1033103437

NPI Information

SURGICAL SPECIALISTS OF SOUTHWEST FLORIDA P.A. is a vascular surgery surgery in Fort Myers, FL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SURGICAL SPECIALISTS OF SOUTHWEST FLORIDA P.A. NPI is 1033103437. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Surgical Specialists Of Southwest Florida.

The provider's business location address is:

6821 PALISADES PARK CT
SUITE 1
FORT MYERS, FL
ZIP 33912-131
Phone: (239) 936-8555
Fax: (239) 936-5611

The provider's authorized official is Gordon D Burtch .
The authorized official title is President and has the following contact phone number (239) 936-8555.

The CLIA number assigned to this NPI record is 10D1101739 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2005 and was last updated on 7/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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