Healthcare Provider Details
I. General information
NPI: 1033734793
Provider Name (Legal Business Name): NAPLES SUNCOAST SURGERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2020
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2500 GOODLETTE-FRANK RD N
NAPLES FL
34103-4608
US
IV. Provider business mailing address
2500 GOODLETTE-FRANK RD N
NAPLES FL
34103-4608
US
V. Phone/Fax
- Phone: 239-418-0999
- Fax: 239-274-0773
- Phone: 239-418-0999
- Fax: 239-418-0991
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JONATHAN
FRANTZ
Title or Position: PRESIDENT
Credential: MD
Phone: 239-418-0999