Elite Urology of Southwest Florida LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ELITE UROLOGY OF SOUTHWEST FLORIDA LLC

Practice address

401 Commercial CT Ste E
Venice, FL 34292-1652

Phone

(941) 260-4440

Fax

(941) 260-4441

NPI assigned

Aug 25, 2020

Last updated

Nov 13, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Ercolani, MDNPI 1801059894

Title

President

Phone

(941) 275-5777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Corbyons Ercolani, M.D.

  • Urology Physician
  • Venice, FL
  • NPI 1801059894
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1205449790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCIAL CT STE E",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921652",
            "telephone_number": "941-260-4440",
            "fax_number": "941-260-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COMMERCIAL CT STE E",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342921652",
            "telephone_number": "941-260-4440",
            "fax_number": "941-260-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE UROLOGY OF SOUTHWEST FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "ERCOLANI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-275-5777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ashlee Econopouly, P.A.-C
• James A. Egan, D.D.S.
• Ehrlich & Sallapudi DDS LLC
• Elite Health Medical Centers
• Elite Nursing Care, Inc.
• Lawrence James Elliott, D.O.
• Meredith Ellis
• Empath Therapies, LLC
• Empathea LLC
• Enchanted Caregivers Inc

• Urology Physician in Venice, FL
• Providers in Venice, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.