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Contact Information

ADVANCED LAPAROSCOPIC SURGERY OF FORT MYERS LLC
615 WILLIAMS AVE
SUITE 101
LEHIGH ACRES, FL33972-7954
 Phone: 239-303-5273
 Fax: 866-586-6004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ADVANCED LAPAROSCOPIC SURGERY OF FORT MYERS LLC

NPI # 1780874784
LBN Legal business name ADVANCED LAPAROSCOPIC SURGERY OF FORT MYERS LLC
Authorized official PATRICK MCGRAW - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2007
Last updated 07/23/2009 - About 17 years ago
Identifiers
FL License # ME96681
FL Other 9344077 AETNA
FL Other 18294 BLUE CROSS BLUE SHIELD
FL Other 3954998 CIGNA
FL Other 178150564104 HUMANA
FL Other 2822788 UNITED
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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