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

NPI Status: Active since February 12, 2015

Contact Information

14320 METROPOLIS AVE STE 1
FORT MYERS, FL
ZIP 33912
Phone: (239) 277-5770
Fax: (239) 985-1911

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  • Organization
  • Urology
  • CLIA Number: 10D2131027
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-21-2027

About GULFSTREAM UROLOGY, PA

This page provides the complete NPI Profile along with additional information for Gulfstream Urology, Pa, a provider established in Fort Myers, Florida operating as a Urology. The healthcare provider is registered in the NPI registry with number 1255722203 assigned on February 2015. The practitioner's primary taxonomy code is 208800000X with license number ME87076 (FL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Meir Daller Md (Owner)

NPI
1255722203
Provider Name
GULFSTREAM UROLOGY, PA
Entity Type
Organization
Location Address
14320 METROPOLIS AVE STE 1 FORT MYERS, FL 33912
Location Phone
(239) 277-5770
Location Fax
(239) 985-1911
Mailing Address
8931 COLONIAL CENTER DR SUITE 100 FORT MYERS, FL 33905
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2015
Last Update Date
02-11-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
ME87076
License State
FL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MEIR DALLER MD

Authorized Official Title
OWNER
Authorized Official Phone
(239) 980-2302

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2131027
Facility Type
Physician Office
Certificate Effective Date
May 22, 2025
Certificate Expiration Date
May 21, 2027
Laboratory Director
MEIR DALLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gulfstream Urology, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255722203, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 1 + 4 + 2 + 4 + 2 + 0 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1255722203.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Urology
14320 METROPOLIS AVE STE 1
FORT MYERS, FL 33912
Nurse Practitioner
14320 METROPOLIS AVE STE 1
FORT MYERS, FL 33912

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255722203, enumerated as an "organization" on February 12, 2015.

The provider is located at 14320 METROPOLIS AVE STE 1 FORT MYERS, FL 33912 and the phone number is (239) 277-5770.

Urology with taxonomy code 208800000X.