TRAILS EDGE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bonita Springs, FL. TRAILS EDGE SURGERY CENTER, LLC NPI is 1639650161. The provider is registered as an organization entity type.
The provider's business location address is:
28930 TRAILS EDGE BLVD
BONITA SPRINGS, FL
ZIP 34134-582
Phone: (239) 333-3200
The provider's authorized official is Jacky Lucia .
The authorized official title is Chief Administrative Officer and has the following contact phone number (239) 963-7365.
The CLIA number assigned to this NPI record is 10D1056544 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/23/2018 and was last updated on 8/23/2018.