SPECIALISTS IN UROLOGY SURGERY CENTER LLC NPI 1992728810

NPI Information

NPI: 1992728810
Provider Name: SPECIALISTS IN UROLOGY SURGERY CENTER, LLC

Doing Business As: SUNERGY OUTPATIENT SURGERY CENTER-BONITA SPRINGS

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
28930 TRAILS EDGE BOULEVARD
BONITA SPRINGS, FL
ZIP 34134
Phone: (239) 231-7041
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SPECIALISTS IN UROLOGY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bonita Springs, FL. SPECIALISTS IN UROLOGY SURGERY CENTER, LLC NPI is 1992728810. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunergy Outpatient Surgery Center-bonita Springs.

The provider's business location address is:

28930 TRAILS EDGE BOULEVARD
BONITA SPRINGS, FL
ZIP 34134
Phone: (239) 231-7041
Fax: (844) 857-1822

The provider's authorized official is Lea Harbor .
The authorized official title is Officer and has the following contact phone number (205) 545-2572.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 4/14/2016.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical	1177	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	076522800	MEDICAID	FLORIDA
2	5114160001	MEDICARE NSC	FLORIDA
3	F1480	MEDICARE PIN	FLORIDA
4	P00085604	MEDICARE PIN	FLORIDA

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

NPI Synchronization or Removal

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