FT MYERS DIGESTIVE HEALTH AND PAIN ASC LLC
Surgery Yellow Pages
Fort Myers, Florida
Provider NPI: 1619940582
Organization Information:Organization Name: FT MYERS DIGESTIVE HEALTH AND PAIN ASC LLC
Practice Location:
12700 CREEKSIDE LN SUITE 202 FORT MYERS, FL 33919 US
Tel: 239-489-1660 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
12700 CREEKSIDE LN SUITE 202 FORT MYERS, FL 33919 US
Tel: 239-489-1660 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | FL | 776 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0751839-00 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin