FLORIDA ENDOSCOPY & SURGERY CENTER LLC NPI 1568437820

NPI Information

NPI: 1568437820
Provider Name: FLORIDA ENDOSCOPY & SURGERY CENTER, LLC

Doing Business As: FLORIDA ENDOSCOPY & SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
12900 CORTEZ BLVD
SUITE 103
BROOKSVILLE, FL
ZIP 34613
Phone: (352) 596-1145
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FLORIDA ENDOSCOPY & SURGERY CENTER, LLC is an ambulatory surgical clinic center in Brooksville, FL. FLORIDA ENDOSCOPY & 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 enumeration date for this NPI number is 2/21/2006 and was last updated on 3/22/2021.

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	1104	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	1024242	OTHER	FLORIDA	PHYSICIANS CARE PLAN
2	6800147	OTHER	FLORIDA	UNITED HEALTHCARE INS
3	68P	OTHER	FLORIDA	BCBS
4	AS001104	OTHER	FLORIDA	STERLING-MEDICARE +CHOICE
5	490004769	OTHER	FLORIDA	MEDICARE RAILROAD
6	070553500	MEDICAID	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

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