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SURGERY CENTRE OF SW FLORIDA LLC NPI 1972092146


NPI Information

NPI: 1972092146
Provider Name: SURGERY CENTRE OF SW FLORIDA LLC

Doing Business As: FORT MYERS SURGERY CENTER

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

Specialization: Ambulatory Surgical

CLIA Number: 10D2163768

Address:
13051 UNIVERSITY DR STE 102
FORT MYERS, FL
ZIP 33907
Phone: (469) 872-4706
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SURGERY CENTRE OF SW FLORIDA LLC is an ambulatory surgical clinic center in Fort Myers, FL. SURGERY CENTRE OF SW FLORIDA LLC NPI is 1972092146. The provider is registered as an organization entity type.
The provider Is Doing Business As Fort Myers Surgery Center.

The provider's business location address is:

13051 UNIVERSITY DR STE 102
FORT MYERS, FL
ZIP 33907
Phone: (469) 872-4706

The provider's authorized official is Collin Lemaistre .
The authorized official title is Officer/authorized Official and has the following contact phone number (404) 781-2921.

The CLIA number assigned to this NPI record is 10D2163768 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2018 and was last updated on 4/14/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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