Provider Demographics
NPI:1508180407
Name:UFIRST SURGERY CENTER
Entity Type:Organization
Organization Name:UFIRST SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:TOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:239-243-8222
Mailing Address - Street 1:13300 S CLEVELAND AVE STE 56
Mailing Address - Street 2:318
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-3871
Mailing Address - Country:US
Mailing Address - Phone:239-243-8222
Mailing Address - Fax:
Practice Address - Street 1:12640 WORLD PLAZA LN
Practice Address - Street 2:318
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3987
Practice Address - Country:US
Practice Address - Phone:239-243-8222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-22
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty