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NPI Code Detail

MEDICARE: METRO ALLIANCE SURGERY CENTER LLC

MEDICARE: METRO ALLIANCE SURGERY CENTER LLC
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
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1538940556
Entity Type Code : Organization
Provider Name (Legal Business Name) : METRO ALLIANCE SURGERY CENTER LLC
Provider Business Mailing Address
First Line : 1005 W INDIANTOWN RD STE 101
Second Line :
City : JUPITER
State : FL
Zip : 33458-6834
Country : US
Telephone Number : 561-630-6277
Fax Number : 561-630-6062
Provider Business Practice Location Address
First Line : 6201 ALLIANCE LN FL 2
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-7164
Country : US
Telephone Number : 239-344-9786
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : DR. MOSES K SHIEH
Credential : M.D.
Telephone Number : 239-344-9786
Provider Enumeration Date : 10/06/2023
Last Update Date : 01/08/2025

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Directions to “METRO ALLIANCE SURGERY CENTER LLC ” Practice Location

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