TREASURE COAST SURGERY CENTER LLC NPI 1154504728

NPI Information

NPI: 1154504728
Provider Name: TREASURE COAST SURGERY CENTER, LLC

Doing Business As: TREASURE COAST CENTER FOR SURGERY

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1155 SE MONTEREY ROAD EXT
STUART, FL
ZIP 34994
Phone: (772) 286-8028
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TREASURE COAST SURGERY CENTER, LLC is an ambulatory surgical clinic center in Stuart, FL. TREASURE COAST SURGERY CENTER, LLC NPI is 1154504728. The provider is registered as an organization entity type.
The provider Is Doing Business As Treasure Coast Center For Surgery.

The provider's business location address is:

1155 SE MONTEREY ROAD EXT
STUART, FL
ZIP 34994-617
Phone: (772) 286-8028
Fax: (772) 283-6628

The provider's authorized official is John C Wilson .
The authorized official title is Chief Financial Officer and has the following contact phone number (615) 301-8144.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 1/21/2015.

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	1002	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10C0001264	MEDICARE PIN	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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