TREASURE COAST SURGICAL CENTER INC NPI 1124296173

NPI Information

NPI: 1124296173
Provider Name: TREASURE COAST SURGICAL CENTER INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 10D1089720

Address:
1811 S 25TH ST
FORT PIERCE, FL
ZIP 34947
Phone: (772) 467-1960
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TREASURE COAST SURGICAL CENTER INC is an ambulatory surgical clinic center in Fort Pierce, FL. TREASURE COAST SURGICAL CENTER INC NPI is 1124296173. The provider is registered as an organization entity type.

The provider's business location address is:

1811 S 25TH ST
FORT PIERCE, FL
ZIP 34947-756
Phone: (772) 467-1960
Fax: (772) 467-1970

The provider's authorized official is Joseph J Katta .
The authorized official title is President and has the following contact phone number (772) 467-1960.

The CLIA number assigned to this NPI record is 10D1089720 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2008 and was last updated on 3/25/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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