PERFORMANCE HEALTH SURGERY CENTER NPI 1134684814

NPI Information

NPI: 1134684814
Provider Name: PERFORMANCE HEALTH SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 10D2168551

Address:
9500 GULF RESEARCH LANE
FORT MYERS, FL
ZIP 33912
Phone: (919) 329-2882
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PERFORMANCE HEALTH SURGERY CENTER is an ambulatory surgical clinic center in Fort Myers, FL. PERFORMANCE HEALTH SURGERY CENTER NPI is 1134684814. The provider is registered as an organization entity type.

The provider's business location address is:

9500 GULF RESEARCH LANE
FORT MYERS, FL
ZIP 33912
Phone: (919) 329-2882

The provider's authorized official is Jamie Heater .
The authorized official title is Director Of Operations and has the following contact phone number (919) 329-2882.

The CLIA number assigned to this NPI record is 10D2168551 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2019 and was last updated on 2/17/2020.

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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