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ADVANCED COLORECTAL SURGERY AND WELLNESS NPI 1609164029


NPI Information

NPI: 1609164029
Provider Name: ADVANCED COLORECTAL SURGERY AND WELLNESS
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
1050 SE MONTEREY RD
SUITE 202
STUART, FL
ZIP 34994
Phone: (772) 419-0560
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ADVANCED COLORECTAL SURGERY AND WELLNESS is a colon rectal surgery in Stuart, FL. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. ADVANCED COLORECTAL SURGERY AND WELLNESS NPI is 1609164029. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1050 SE MONTEREY RD
SUITE 202
STUART, FL
ZIP 34994-512
Phone: (772) 419-0560

The provider's authorized official is Robert Gluckman .
The authorized official title is Owner and has the following contact phone number (772) 419-0560.

The enumeration date for this NPI number is 7/19/2011 and was last updated on 7/19/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208C00000XColon & Rectal SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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