Dermatologic and Cosmetic Surgery
NPI #1053347203 in Fort Myers, Florida
Provider Information
- NPI Number
- 1053347203
- Entity Type
- Organization
- Organization Name
- Dermatologic and Cosmetic Surgery
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jun 22, 2006
- Last Updated
- Feb 4, 2013
Practice Location
- Address
- 2668 SWAMP CABBAGE CT
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33901-9332
- Phone
- (239) 936-1145
Authorized Official
- Name
- CHARLES S EBY, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (239) 936-1145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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