Provider Demographics
NPI:1609090257
Name:WORLD PLAZA SURGERY LLC
Entity Type:Organization
Organization Name:WORLD PLAZA SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:RITROSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-275-8898
Mailing Address - Street 1:12640 WORLD PLAZA LN # 71
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-3987
Mailing Address - Country:US
Mailing Address - Phone:239-275-8898
Mailing Address - Fax:239-275-9933
Practice Address - Street 1:12640 WORLD PLAZA LN # 71
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3987
Practice Address - Country:US
Practice Address - Phone:239-275-8898
Practice Address - Fax:239-275-9933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical