HILLMOOR EYE SURGERY CENTER INC. NPI 1336165091

NPI Information

NPI: 1336165091
Provider Name: HILLMOOR EYE SURGERY CENTER, INC.

Doing Business As: ONE DAY SURGERY

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

Specialization: Ambulatory Surgical

Address:
1715 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952
Phone: (772) 335-7005
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HILLMOOR EYE SURGERY CENTER, INC. is an ambulatory surgical clinic center in Port St Lucie, FL. HILLMOOR EYE SURGERY CENTER, INC. NPI is 1336165091. The provider is registered as an organization entity type.
The provider Is Doing Business As One Day Surgery.

The provider's business location address is:

1715 SE TIFFANY AVE
PORT ST LUCIE, FL
ZIP 34952-520
Phone: (772) 335-7005
Fax: (772) 335-3394

The provider's authorized official is Eileen M Gorman .
The authorized official title is Business Manager and has the following contact phone number (772) 335-7005.

The CLIA number assigned to this NPI record is 10D0877154 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 11/1/2010.

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	914	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	699	OTHER	FLORIDA	BLUE CROSS
2	F1134	MEDICARE ID-TYPE UNSPECIFIED
3	075525700	MEDICAID	FLORIDA
4	P00039361	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

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