DERMATOLOGIC AND COSMETIC SURGERY


Address: 2668 Swamp Cabbage Ct, Fort Myers, FL 33901-9332
Phone: 2399361145

DERMATOLOGIC AND COSMETIC SURGERY (NPI# 1053347203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053347203
Entity Type Organization
Organization Name DERMATOLOGIC AND COSMETIC SURGERY
Practice Address 2668 Swamp Cabbage Ct
Fort Myers
FL 33901-9332
Practice Telephone 2399361145
Practice Fax Number 2392755074
Mailing Telephone 2399361145
Mailing Fax Number 2392755074
Enumeration Date 2006-06-22
Last Update Date 2013-02-04
Authorized Official Name CHARLES S EBY (MEDICAL DIRECTOR)
Authorized Official Telephone 2399361145
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
ME0015824 FL Ambulatory Health Care Facilities

Office Location

Street Address 2668 SWAMP CABBAGE CT
City FORT MYERS
State FL
Zip Code 33901-9332

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1972092146 Surgery Centre of Sw Florida LLC Clinic/Center 13051 University Dr Ste 102, Fort Myers, FL 33907 2018-05-03
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1609090257 World Plaza Surgery LLC Clinic/Center 12640 World Plaza Ln # 71, Fort Myers, FL 33907-3987 2007-04-13
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Competitor

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City FORT MYERS
Zip Code 33901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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