Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gulfshore Urology LLC

Organization Urology Physician · NPI 1306209200

Gulfshore Urology LLC is an Urology Physician in Bonita Springs, Florida. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

28930 Trails Edge Blvd Ste 200
Bonita Springs, FL 34134-7582
Phone: (239) 333-3200
Fax: (239) 992-5785
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1306209200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rolando Rivera — Shareholder · (239) 333-3200
NPI enumeratedMarch 30, 2016
Last updated in NPPESMarch 30, 2016
Mailing address28930 Trails Edge Blvd, Suite 200, Bonita Springs, FL 34134-7582

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