FORT MYERS EYE SURGERY CENTER LLC NPI 1437482924

NPI Information

FORT MYERS EYE SURGERY CENTER LLC is an ambulatory surgical clinic center in Fort Myers, FL. FORT MYERS EYE SURGERY CENTER LLC NPI is 1437482924. The provider is registered as an organization entity type.

The provider's business location address is:

4790 BARKLEY CIR
BUILDING C UNIT 101
FORT MYERS, FL
ZIP 33907-543
Phone: (239) 277-1778
Fax: (239) 277-1779

The provider's authorized official is Shelley Tyndall .
The authorized official title is Administrator and has the following contact phone number (239) 791-0013.

The CLIA number assigned to this NPI record is 10D1107441 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2009 and was last updated on 2/4/2010.

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:

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