Provider Demographics
NPI:1538279930
Name:DEL TURA CAT SCAN SERVICES LLC
Entity Type:Organization
Organization Name:DEL TURA CAT SCAN SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:SCAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:239-689-6677
Mailing Address - Street 1:7335 GLADIOLUS DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-5122
Mailing Address - Country:US
Mailing Address - Phone:239-689-6677
Mailing Address - Fax:239-939-7511
Practice Address - Street 1:18900 N TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-7312
Practice Address - Country:US
Practice Address - Phone:239-567-1000
Practice Address - Fax:239-567-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 6048208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty