Healthcare Provider Details

I. General information

NPI: 1538940556
Provider Name (Legal Business Name): METRO ALLIANCE SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2023
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 ALLIANCE LN FL 2
FORT MYERS FL
33912-7164
US

IV. Provider business mailing address

1005 W INDIANTOWN RD STE 101
JUPITER FL
33458-6834
US

V. Phone/Fax

Practice location:
  • Phone: 239-344-9786
  • Fax:
Mailing address:
  • Phone: 561-630-6277
  • Fax: 561-630-6062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MOSES K SHIEH
Title or Position: MANAGER
Credential: M.D.
Phone: 239-344-9786