Provider Demographics
NPI:1649630021
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 1:9411 FOUNTAIN MEDICAL CT
Mailing Address - Street 2:SUITE E101
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-4625
Mailing Address - Country:US
Mailing Address - Phone:239-947-5300
Mailing Address - Fax:239-947-9040
Practice Address - Street 1:9411 FOUNTAIN MEDICAL CT
Practice Address - Street 2:SUITE E101
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4625
Practice Address - Country:US
Practice Address - Phone:239-947-5300
Practice Address - Fax:239-947-9040
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 Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty