Provider Demographics
NPI:1275993651
Name:ASSOCIATES IN MEDICINE & SURGERY LLC
Entity Type:Organization
Organization Name:ASSOCIATES IN MEDICINE & SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:H
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHARARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-689-8900
Mailing Address - Street 1:9250 CORKSCREW RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-3208
Mailing Address - Country:US
Mailing Address - Phone:239-498-4979
Mailing Address - Fax:239-498-4945
Practice Address - Street 1:9250 CORKSCREW RD
Practice Address - Street 2:SUITE 7
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-3208
Practice Address - Country:US
Practice Address - Phone:239-498-4979
Practice Address - Fax:239-498-4945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-29
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty