RIVERWALK SURGERY CENTER INC NPI 1215025010

NPI Information

NPI: 1215025010
Provider Name: RIVERWALK SURGERY CENTER, INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 10D0927556

Address:
8350 RIVERWALK PARK BLVD
SUITE 4
FORT MYERS, FL
ZIP 33919
Phone: (239) 489-4909
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RIVERWALK SURGERY CENTER, INC is an ambulatory surgical clinic center in Fort Myers, FL. RIVERWALK SURGERY CENTER, INC NPI is 1215025010. The provider is registered as an organization entity type.

The provider's business location address is:

8350 RIVERWALK PARK BLVD
SUITE 4
FORT MYERS, FL
ZIP 33919-759
Phone: (239) 489-4909
Fax: (239) 489-3901

The provider's authorized official is David Heligman .
The authorized official title is President, Governing Body and has the following contact phone number (239) 489-4909.

The CLIA number assigned to this NPI record is 10D0927556 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 8/22/2020.

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	1044	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	275145	OTHER	FLORIDA	AVMED
2	0813107	OTHER	FLORIDA	AETNA
3	0101802	OTHER	FLORIDA	GHI
4	66K	OTHER	FLORIDA	BCBS
5	213207	OTHER	FLORIDA	AMERIGROUP
6	P1662794	OTHER	FLORIDA	OXFORD

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

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