GULF COAST CARDIOTHORACIC SURGEONS NPI 1275573131

NPI Information

  • NPI: 1275573131
  • Provider Name: GULF COAST CARDIOTHORACIC SURGEONS
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • CLIA Number: 10D1035710
  • Address: 8010 SUMMERLIN LAKES DR STE 100
    FORT MYERS, FL
    ZIP 33907
  • Phone: (239) 939-1767

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NPI Details

GULF COAST CARDIOTHORACIC SURGEONS is a surgery in Fort Myers, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. GULF COAST CARDIOTHORACIC SURGEONS NPI is 1275573131. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8010 SUMMERLIN LAKES DR STE 100
FORT MYERS, FL
ZIP 33907-849
Phone: (239) 939-1767
Fax: (239) 939-5895

The provider's authorized official is Michael L Novotney .
The authorized official title is Managing Partner and has the following contact phone number (239) 939-1767.

The CLIA number assigned to this NPI record is 10D1035710 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 5/13/2022.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryYes

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This page was last updated on: 3/30/2025

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