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GULFSTREAM UROLOGY, PA
NPI 1255722203
Urology in Fort Myers, FL

Active since February 12, 2015CLIA 10D2131027 · Waiver
14320 METROPOLIS AVE STE 1, FORT MYERS, FL 33912(239) 277-5770(239) 985-1911 Get Directions Write a Review

NPPES record last updated: February 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gulfstream Urology, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GULFSTREAM UROLOGY, PA (NPI 1255722203) is a healthcare organization registered as an urology in Fort Myers, Florida and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through May 21, 2027 and lists Meir Daller, Owner, as its authorized official.

NPPES Registry Identity

NPI1255722203
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGULFSTREAM UROLOGY, PA
Location Address14320 METROPOLIS AVE STE 1Fort Myers, FL 33912-4539
Mailing Address8931 Colonial Center Dr, Suite 100Fort Myers, FL 33905-7809
Phone(239) 277-5770
Fax(239) 985-1911
Organization SubpartNo
Authorized OfficialMeir DallerOwner · (239) 980-2302
Enumeration DateFebruary 12, 2015
Last NPPES UpdateFebruary 11, 2020
✔ NPI 1255722203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME87076
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
14320 METROPOLIS AVE STE 1, Fort Myers, FL 33912
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2131027

Gulfstream Urology · Fort Myers, FL
Active · expires May 21, 2027
CLIA Number10D2131027
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2025
Certificate Expiration DateMay 21, 2027
Laboratory DirectorMeir Daller
Laboratory Phone(239) 223-0342
Laboratory LocationGulfstream Urology14320 Metropolis Ave Ste 1, Fort Myers, FL 33912
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEIR DALLER M.D.
Urology
14320 METROPOLIS AVE STE 1
FORT MYERS, FL 33912
Lee County (239) 277-5770
MELISSA IRVINE AGACNP-BC
Nurse Practitioner
14320 METROPOLIS AVE STE 1
FORT MYERS, FL 33912
Lee County (239) 277-5770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gulfstream Urology, PA's NPI number?

The NPI number for Gulfstream Urology, PA is 1255722203. It was assigned to this organization in the NPPES registry on February 12, 2015.

Where is Gulfstream Urology, PA located?

Gulfstream Urology, PA is located at 14320 Metropolis Ave Ste 1, Fort Myers, FL 33912. The listed phone number is (239) 277-5770.

What is Gulfstream Urology, PA's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Gulfstream Urology, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2131027) is associated with this NPI, valid through May 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gulfstream Urology, PA was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.