BARKLEY SURGICENTER LLC NPI 1750363461

NPI Information

NPI: 1750363461
Provider Name: BARKLEY SURGICENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 10D0896336

Address:
63 BARKLEY CIR STE 104
FORT MYERS, FL
ZIP 33907
Phone: (239) 275-8452
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BARKLEY SURGICENTER, LLC is an ambulatory surgical clinic center in Fort Myers, FL. BARKLEY SURGICENTER, LLC NPI is 1750363461. The provider is registered as an organization entity type.

The provider's business location address is:

63 BARKLEY CIR STE 104
FORT MYERS, FL
ZIP 33907-514
Phone: (239) 275-8452
Fax: (239) 274-3182

The provider's authorized official is Collin Lemaistre .
The authorized official title is Market President and has the following contact phone number (214) 213-0732.

The CLIA number assigned to this NPI record is 10D0896336 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2005 and was last updated on 10/30/2023.

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	823	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	63Q	OTHER	FLORIDA	BCBS
2	0857955	OTHER	FLORIDA	CIGNA
3	490002295	OTHER	FLORIDA	RAILROAD MEDICARE
4	8720114	OTHER	FLORIDA	AETNA

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: 4/28/2024

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