Advanced Colorectal Surgery and Wellness

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

ADVANCED COLORECTAL SURGERY AND WELLNESS

Practice address

1050 SE Monterey Rd
Suite 202
Stuart, FL 34994-4512

Phone

(772) 419-0560

NPI assigned

Jul 19, 2011

Last updated

Jul 19, 2011By 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

Robert Gluckman

Title

Owner

Phone

(772) 419-0560

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1609164029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD",
            "address_2": "SUITE 202",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-419-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD",
            "address_2": "SUITE 202",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-419-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED COLORECTAL SURGERY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "GLUCKMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-419-0560"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cierra Nicole Adolphe
• Sindy Mavel Adon Fana
• Kateleen-Joy Cabayao Adona
• Claudia Adrian, CNM
• Adult and Pediatric Dermatology Practitioners P a
• Advanced Digestive Care of Stuart
• Advanced Foot and Ankle Specialists PA
• Advanced Medical Imaging of Stuart
• Advanced Medical Weightloss
• Advanced Pain Management and Anesthesia

• Colon & Rectal Surgery Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Colon & Rectal Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.