MEDICARE: UFIRST SURGERY CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician
2	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1508180407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UFIRST SURGERY CENTER

Provider Business Mailing Address
First Line	:	13300 S CLEVELAND AVE STE 56
Second Line	:	318
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3871
Country	:	US
Telephone Number	:	239-243-8222
Fax Number	:

Provider Business Practice Location Address
First Line	:	12640 WORLD PLAZA LN
Second Line	:	318
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3987
Country	:	US
Telephone Number	:	239-243-8222
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT E TOMAS
Credential	:	D.O.
Telephone Number	:	239-243-8222

Provider Enumeration Date	:	03/22/2010
Last Update Date	:	03/22/2010

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12650 WORLD PLAZA LN BLDG 72 , SUITE 1
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Directions to “UFIRST SURGERY CENTER ” Practice Location

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