Healthcare Provider Details
I. General information
NPI: 1437955580
Provider Name (Legal Business Name): HSS AT NCH AMBULATORY SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2025
Last Update Date: 07/03/2025
Certification Date: 07/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11190 HEALTH PRK BLVD BLD2 STE2100
NAPLES FL
34110
US
IV. Provider business mailing address
11190 HEALTH PRK BLVD BLD2 STE2100
NAPLES FL
34110
US
V. Phone/Fax
- Phone: 239-624-5000
- Fax:
- Phone: 239-624-5000
- Fax:
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
PETER
KLING
Title or Position: COO
Credential:
Phone: 239-624-4009