PREMIER SURGICAL CENTER LLC NPI 1467783688

NPI Information

  • NPI: 1467783688
  • Provider Name: PREMIER SURGICAL CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 10D2007255
  • Address: 2130 VINDALE RD.
    TAVARES, FL
    ZIP 32778
  • Phone: (352) 383-7777

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NPI Details

PREMIER SURGICAL CENTER LLC is an ambulatory surgical clinic center in Tavares, FL. PREMIER SURGICAL CENTER LLC NPI is 1467783688. The provider is registered as an organization entity type.

The provider's business location address is:

2130 VINDALE RD.
TAVARES, FL
ZIP 32778-637
Phone: (352) 383-7777
Fax: (352) 383-8875

The provider's authorized official is Lalbahadur S Nagabhairu .
The authorized official title is Medical Director and has the following contact phone number (352) 636-6969.

The CLIA number assigned to this NPI record is 10D2007255 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of esophagus using a flexible endoscope through mouth (HCPCS:43202)
  • Removal of polyps or growths of esophagus using a flexible endoscope with electrical cautery (HCPCS:43216)
  • Dilation of esophagus with insertion of guide wire using a flexible endoscope (HCPCS:43226)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery (HCPCS:45384)
  • Destruction of polyp or growth of large bowel using a flexible endoscope (HCPCS:45388)
  • Diagnostic exam of anus and rectum under anesthesia (HCPCS:45990)
  • Biopsy of small bowel (except ileum) using an endoscope (HCPCS:44361)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Destruction of polyp or growth of small bowel using an endoscope (HCPCS:44369)
  • Removal of small bowel polyps or growths using an endoscope with electrical cautery (HCPCS:44365)
  • Destruction of polyp or growth of esophagus using a flexible endoscope (HCPCS:43229)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Removal of foreign bodies in esophagus using a flexible endoscope (HCPCS:43215)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Removal of stone or debris from bile or pancreatic duct using a flexible endoscope (HCPCS:43264)

The enumeration date for this NPI number is 1/28/2010 and was last updated on 1/28/2010.

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
1261QA1903XClinic/CenterAmbulatory SurgicalFLORIDAYes

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: 11/21/2025

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