Eyelid Surgery Center, LLC

NPI #1255325080 in Fort Myers, Florida

Provider Information

NPI Number
1255325080
Entity Type
Organization
Organization Name
Eyelid Surgery Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Sep 8, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
15620 NEW HAMPSHIRE CT
State
Florida
ZIP Code
33908-4168
Phone
(239) 481-9995

Authorized Official

Name
MR. ROBERT DUANE MARTILLA, RN, LHRM
Title
ADMINISTRATOR
Phone
(239) 481-9995

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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