SUNCOAST SURGERY CENTER, LLC (NPI# 1043290653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043290653 |
| Entity Type | Organization |
| Organization Name | SUNCOAST SURGERY CENTER, LLC |
| Practice Address |
12731 New Brittany Blvd Fort Myers FL 33907-3632 |
| Mailing Address |
Po Box 61199 Fort Myers FL 33906-1199 |
| Practice Telephone | 2397912273 |
| Practice Fax Number | 2397900375 |
| Mailing Telephone | 2397912273 |
| Mailing Fax Number | 2397900375 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | DEBBIE BENNETT (BILLING MANAGER) |
| Authorized Official Telephone | 2394180262 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAIL ROAD MEDICARE | 490004635 | 01 |
| Street Address |
12731 NEW BRITTANY BLVD |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33907-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700884525 | Sandler L Burkley | Optometrist | 12731 New Brittany Blvd, Fort Myers, FL 33907-3632 | 2005-07-14 |
| 1174919583 | Maxwell Anderson Burch | Ophthalmology | 12731 New Brittany Blvd, Fort Myers, FL 33907-3632 | 2015-04-13 |
| 1639421969 | Patricia Duffield | Optometrist | 12731 New Brittany Blvd, Fort Myers, FL 33907-3632 | 2012-10-10 |
| 1710276464 | Nisha Pulpet Warrier | Ophthalmology | 12731 New Brittany Blvd, Fort Myers, FL 33907-3632 | 2011-04-04 |
| 1649442021 | Nicole Marie Yontz | Optometrist | 12731 New Brittany Blvd, Fort Myers, FL 33907 | 2008-03-26 |
| 1376742957 | Marc G Bodman | Ophthalmology | 12731 New Brittany Blvd, Fort Myers, FL 33907-3632 | 2007-07-13 |
| 1194848333 | Jeffrey B Robin | Ophthalmology | 12731 New Brittany Blvd, Fort Myers, FL 33907-3632 | 2007-04-10 |
| 1750428561 | Roger Paez | Optometrist | 12731 New Brittany Blvd, Fort Myers, FL 33907-3632 | 2007-01-31 |
| 1477646644 | Thy A Nguyen | Optometrist | 12731 New Brittany Blvd, Fort Myers, FL 33907-3632 | 2006-10-02 |
| 1740380526 | Yale Conrad Kanter | Specialist | 12731 New Brittany Blvd, Fort Myers, FL 33907-3632 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739253 | Islande Dorcin | Social Worker | 13300 South Cleveland Ave Suite 56 # 822, Fort Myers, FL 33907 | 2020-08-04 |
| 1003462268 | Ronny Rodolfo Herrera | Behavior Technician | Beacon Executive Suites, 8359 Beacon Blvd, Suite#416, Homestead, FL 33907 | 2019-08-14 |
| 1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
| 1437648391 | Rita Lusinete Rabitt | Registered Nurse | 14084 Clear Water Ln, Fort Myers, FL 33907 | 2018-05-07 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1740787761 | Care Transport Inc | Non-emergency Medical Transport (VAN) | 7850 Reflection Cove Dr, Fort Myers, FL 33907 | 2018-04-06 |
| 1942730692 | Concierge Care of Fort Myers, LLC | In Home Supportive Care | 12253 New Brittany Boulevard, Suite 32, Fort Myers, FL 33907 | 2017-06-15 |
| 1710411467 | Johnnie Terrell | Social Worker | 43 Barkley Cir #102, Fort Myers, FL 33907 | 2017-04-19 |
| 1881041184 | Hchs Medical Center | Clinic/Center | 35 Barkley Circle, Unit 2, Fort Myers, FL 33907 | 2016-05-17 |
| 1043665227 | Tong Liu | Dentist | 8016 Summerlin Lakes Dr, Fort Myers, FL 33907 | 2016-04-26 |
| Find all providers in zip 33907 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801458989 | Millennium Surgery Centers of Florida, LLC | Clinic/Center | 8380 Riverwalk Park Blvd Ste 220, Fort Myers, FL 33919-8758 | 2019-06-28 |
| 1861052896 | Premier Adult and Childrens Surgery Center LLC | Clinic/Center | 5238 Mason Corbin Ct Ste 101, Fort Myers, FL 33907-7738 | 2019-06-20 |
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1265882096 | Prp Centers of Florida LLC | Clinic/Center | 1225 Sunbury Dr, Fort Myers, FL 33901-8738 | 2016-06-13 |
| 1992970230 | Park Center for Procedures LLC | Clinic/Center | 8255 College Parkway, Fort Myers, FL 33919-5193 | 2008-04-28 |
| 1609090257 | World Plaza Surgery LLC | Clinic/Center | 12640 World Plaza Ln # 71, Fort Myers, FL 33907-3987 | 2007-04-13 |
| 1225199482 | St Marks Surgical Center LLC | Clinic/Center | 6820 International Center Blvd, Fort Myers, FL 33912 | 2006-12-12 |
| 1457448912 | Gladiolus Surgery Center, LLC | Clinic/Center | 7431 Gladiolus Surgery Center, Fort Myers, FL 33908 | 2006-10-06 |
| 1053347203 | Dermatologic and Cosmetic Surgery | Clinic/Center | 2668 Swamp Cabbage Ct, Fort Myers, FL 33901-9332 | 2006-06-22 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33907 |
Please comment or provide details below to improve the information on SUNCOAST SURGERY CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.