Trails Edge Surgery Center, LLC
NPI #1639650161 in Bonita Springs, Florida
Provider Information
- NPI Number
- 1639650161
- Entity Type
- Organization
- Organization Name
- Trails Edge Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Aug 23, 2018
- Last Updated
- Aug 23, 2018
Practice Location
- Address
- 28930 TRAILS EDGE BLVD
- City
- Bonita Springs
- State
- Florida
- ZIP Code
- 34134-7582
- Phone
- (239) 333-3200
Authorized Official
- Name
- JACKY LUCIA
- Title
- CHIEF ADMINISTRATIVE OFFICER
- Phone
- (239) 963-7365
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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