SUMMERLIN BEND SURGERY CENTER LLP NPI 1770566192

NPI Information

NPI: 1770566192
Provider Name: SUMMERLIN BEND SURGERY CENTER LLP
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Doing Business As: ADULT & CHILDRENS SURGERY CENTER OF SOUTHWEST FLORIDA
CLIA Number: 10D0975917
Address: 5238 MASON CORBIN CT
STE 101
FT MYERS, FL
ZIP 33907
Phone: (239) 936-9700

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NPI Details

SUMMERLIN BEND SURGERY CENTER LLP is an ambulatory surgical clinic center in Ft Myers, FL. SUMMERLIN BEND SURGERY CENTER LLP NPI is 1770566192. The provider is registered as an organization entity type.
The provider Is Doing Business As Adult & Childrens Surgery Center Of Southwest Florida.

The provider's business location address is:

5238 MASON CORBIN CT
STE 101
FT MYERS, FL
ZIP 33907-738
Phone: (239) 936-9700
Fax: (239) 936-9707

The provider's authorized official is Lisa L Kelley .
The authorized official title is Administrator and has the following contact phone number (239) 936-9700.

The CLIA number assigned to this NPI record is 10D0975917 - 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.

Removal of nasal air passage under lining tissue (HCPCS:30140)
Exploration of nasal sinus using an endoscope (HCPCS:31276)
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
Removal of nasal sinus tissue using an endoscope (HCPCS:31267)
Incision of eardrum with placement of eardrum tube under general anesthesia (HCPCS:69436)
Exam of nose and sinus with removal of nasal sinus using an endoscope (HCPCS:31257)
Reshaping of nasal cartilage (HCPCS:30520)
Incision of nasal sinus using an endoscope (HCPCS:31256)
Removal of tissue from sphenoid sinus using an endoscope (HCPCS:31259)
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc (HCPCS:22551)

The enumeration date for this NPI number is 11/21/2005 and was last updated on 6/25/2012.

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		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	070785600	MEDICAID	FLORIDA
2	000F1340	MEDICARE ID-TYPE UNSPECIFIED

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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