GULFSTREAM UROLOGY, PA (NPI# 1255722203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255722203 |
| Entity Type | Organization |
| Organization Name | GULFSTREAM UROLOGY, PA |
| Practice Address |
14320 Metropolis Ave Ste 1 Fort Myers FL 33912-4539 |
| Mailing Address |
8931 Colonial Center Dr Suite 100 Fort Myers FL 33905-7809 |
| Practice Telephone | 2392775770 |
| Practice Fax Number | 2399851911 |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | MEIR DALLER (OWNER) |
| Authorized Official Telephone | 2399802302 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | ME87076 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
14320 METROPOLIS AVE STE 1 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386656528 | Meir Daller | Urology | 14320 Metropolis Ave Ste 1, Fort Myers, FL 33912-4539 | 2006-08-13 |
| 1548810823 | Bradley J Trifilo | Urology | 14320 Metropolis Ave Ste 1, Fort Myers, FL 33912-4539 | 2019-09-18 |
| 1851791024 | Melissa Irvine | Nurse Practitioner | 14320 Metropolis Ave Ste 1, Fort Myers, FL 33912-4539 | 2014-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1427388065 | Davis Fessenden Gates | Urology | 1255 Osceola Dr, Fort Myers, FL 33901-6729 | 2010-01-04 |
| 1386656528 | Meir Daller | Urology | 14320 Metropolis Ave Ste 1, Fort Myers, FL 33912-4539 | 2006-08-13 |
| 1326054131 | Lewis B Chaikin | Urology | 4048 Evans Ave Ste 306, Fort Myers, FL 33901-9390 | 2006-08-01 |
| 1376558866 | Philip Newhall | Urology | 12651 Whitehall Dr, Fort Myers, FL 33907-3626 | 2006-07-31 |
| 1538185939 | Veronique Fernandez-salvador | Urology | 7451 Gladiolus Dr, Fort Myers, FL 33908-5193 | 2006-07-15 |
| 1215913975 | David S Harris | Urology | 6811 Palisades Park Ct Ste 1, Fort Myers, FL 33912 | 2005-12-15 |
| 1548810823 | Bradley J Trifilo | Urology | 14320 Metropolis Ave Ste 1, Fort Myers, FL 33912-4539 | 2019-09-18 |
| 1558737148 | Scappa Urology, Pa | Urology | 9400 Gladiolus Dr, Suite 30, Fort Myers, FL 33908-6699 | 2015-08-18 |
| 1275917304 | 21st Century Oncology LLC | Urology | 4571 Colonial Blvd, Fort Myers, FL 33966-1156 | 2015-07-18 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.