FLORIDA ENDOSCOPY AND SURGERY CENTER LLC NPI 1568437820

NPI Information

  • NPI: 1568437820
  • Provider Name: FLORIDA ENDOSCOPY AND SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: FLORIDA ENDOSCOPY & SURGERY CENTER
  • CLIA Number: 10D0974653
  • Address: 12900 CORTEZ BLVD
    SUITE 103
    BROOKSVILLE, FL
    ZIP 34613
  • Phone: (352) 596-1145

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NPI Details

FLORIDA ENDOSCOPY AND SURGERY CENTER, LLC is an ambulatory surgical clinic center in Brooksville, FL. FLORIDA ENDOSCOPY AND SURGERY CENTER, LLC NPI is 1568437820. The provider is registered as an organization entity type.
The provider Is Doing Business As Florida Endoscopy & Surgery Center.

The provider's business location address is:

12900 CORTEZ BLVD
SUITE 103
BROOKSVILLE, FL
ZIP 34613-828
Phone: (352) 596-1145
Fax: (352) 596-7884

The provider's authorized official is James Pat Wright .
The authorized official title is Vp, Physicians Business Services and has the following contact phone number (615) 778-1502.

The CLIA number assigned to this NPI record is 10D0974653 - 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, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Dilation of esophagus (HCPCS:43450)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)

The enumeration date for this NPI number is 2/21/2006 and was last updated on 2/19/2024.

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 Surgical1104FLORIDAYes

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
11024242OTHERFLORIDAPHYSICIANS CARE PLAN
268POTHERFLORIDABCBS
3490004769OTHERFLORIDAMEDICARE RAILROAD
4070553500MEDICAIDFLORIDA
56800147OTHERFLORIDAUNITED HEALTHCARE INS
6AS001104OTHERFLORIDASTERLING-MEDICARE CHOICE

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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