ST. JOHNS SURGERY CENTER GROUP NPI 1295918761

NPI Information

NPI: 1295918761
Provider Name: ST. JOHNS SURGERY CENTER GROUP
Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
8901 CONFERENCE DR
FORT MYERS, FL
ZIP 33919
Phone: (239) 481-8833
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ST. JOHNS SURGERY CENTER GROUP is an ophthalmologic surgery clinic center in Fort Myers, FL. ST. JOHNS SURGERY CENTER GROUP NPI is 1295918761. The provider is registered as an organization entity type.

The provider's business location address is:

8901 CONFERENCE DR
FORT MYERS, FL
ZIP 33919-895
Phone: (239) 481-8833

The provider's authorized official is Thomas Albert Quigley .
The authorized official title is President Owner and has the following contact phone number (239) 466-2020.

The enumeration date for this NPI number is 12/7/2007 and was last updated on 12/7/2007.

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	261QS0132X	Clinic/Center	Ophthalmologic Surgery	9503907	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
1	079194600	MEDICAID	FLORIDA
2	430028870	MEDICARE PIN	FLORIDA
3	40411	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: 11/14/2023

NPI Synchronization or Removal

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