Organization Active NPI

Precision Healthcare Specialists, LLC

Doing business as Precision Breast Surgery

  • Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1215620844
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PRECISION HEALTHCARE SPECIALISTS, LLC
Doing business as
Precision Breast Surgery
Practice address
13691 Metro Pkwy Ste 300
Fort Myers, FL 33912-4322
Phone
(941) 626-1530
NPI assigned
May 30, 2023
Last updated
May 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PRECISION HEALTHCARE SPECIALISTS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Lawrence Marone
Title
Dir of Administration
Phone
(941) 626-1530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

13691 Metro Pkwy Ste 300
Fort Myers, FL 33912-4322

Mailing address

6321 Daniels Pkwy Ste 200
Fort Myers, FL 33912-4773
Phone (941) 626-1530

Other practice location 1

13813 Metro Pkwy Ste C
Fort Myers, FL 33912-4343
Phone (941) 626-1530

Other names 1

  • Precision Breast Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Precision Healthcare Specialists4 organizations share this tax ID, including this one
Part of
Precision Healthcare Specialists

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13691 Metro Pkwy
Ste 300
Fort Myers, FL 33912
Phone (239) 291-6970

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1215620844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 DANIELS PKWY STE 200",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124773",
            "telephone_number": "941-626-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METRO PKWY STE 300",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124322",
            "telephone_number": "941-626-1530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13813 Metro Pkwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124343",
            "country_code": "US",
            "telephone_number": "941-626-1530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECISION HEALTHCARE SPECIALISTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRECISION HEALTHCARE SPECIALISTS, LLC",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "MARONE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "DIR OF ADMINISTRATION",
        "authorized_official_telephone_number": "941-626-1530"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Breast Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.