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GULFSHORE UROLOGY LLC
NPI 1306209200
Urology in Bonita Springs, FL

Active since March 30, 2016
28930 TRAILS EDGE BLVD, SUITE 200, BONITA SPRINGS, FL 34134(239) 333-3200(239) 992-5785 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gulfshore Urology Llc NPPES

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

GULFSHORE UROLOGY LLC (NPI 1306209200) is a healthcare organization registered as an urology in Bonita Springs, Florida and active in the NPI registry since March 2016. The organization lists Rolando Rivera, Shareholder, as its authorized official.

NPPES Registry Identity

NPI1306209200
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGULFSHORE UROLOGY LLC
Location Address28930 TRAILS EDGE BLVD, SUITE 200Bonita Springs, FL 34134-7582
Mailing Address28930 Trails Edge Blvd, Suite 200Bonita Springs, FL 34134-7582 · (239) 333-3200 · Fax (239) 992-5785
Phone(239) 333-3200
Fax(239) 992-5785
Organization SubpartNo
Authorized OfficialRolando RiveraShareholder · (239) 333-3200
Enumeration DateMarch 30, 2016
✔ NPI 1306209200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
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.
28930 TRAILS EDGE BLVD, Bonita Springs, FL 34134
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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

Other Providers at the Same Location NPPES 3

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

JESSICA LYNN ANDERSON-RIDDELL ARNP
Nurse Practitioner
28930 TRAILS EDGE BLVD, SUITE 200
BONITA SPRINGS, FL 34134
Lee County (239) 293-0294
TRAILS EDGE SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
28930 TRAILS EDGE BLVD
BONITA SPRINGS, FL 34134
Lee County (239) 333-3200
21ST CENTURY ONCOLOGY LLC
Durable Medical Equipment & Medical Supplies
28930 TRAILS EDGE BLVD
BONITA SPRINGS, FL 34134
Lee County (239) 495-3000

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 Gulfshore Urology LLC's NPI number?

The NPI number for Gulfshore Urology LLC is 1306209200. It was assigned to this organization in the NPPES registry on March 30, 2016.

Where is Gulfshore Urology LLC located?

Gulfshore Urology LLC is located at 28930 Trails Edge Blvd Suite 200, Bonita Springs, FL 34134. The listed phone number is (239) 333-3200.

What is Gulfshore Urology LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Gulfshore Urology LLC was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.