COLONIAL OUTPATIENT SURGERY CENTER, LLC


Address: 4571 Colonial Blvd, Fort Myers, FL 33966-1156
Phone: 2393332050

COLONIAL OUTPATIENT SURGERY CENTER, LLC (NPI# 1760963292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760963292
Entity Type Organization
Organization Name COLONIAL OUTPATIENT SURGERY CENTER, LLC
Practice Address 4571 Colonial Blvd
Fort Myers
FL 33966-1156
Practice Telephone 2393332050
Mailing Telephone 2393332050
Enumeration Date 2018-08-23
Last Update Date 2018-08-23
Authorized Official Name JACKY LUCIA (CHIEF ADMINISTRATIVE OFFICER)
Authorized Official Telephone 2399637365
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 4571 COLONIAL BLVD
City FORT MYERS
State FL
Zip Code 33966-1156

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093713489 Jacob H Goldberger Surgery 4571 Colonial Blvd, Suite 210, Fort Myers, FL 33966-1156 2005-07-11
1275917304 21st Century Oncology LLC Urology 4571 Colonial Blvd, Fort Myers, FL 33966-1156 2015-07-18
1528442332 Genesiscare of Florida LLC Otolaryngology 4571 Colonial Blvd, Suite 210, Fort Myers, FL 33966-1156 2015-07-13
1306274063 Mark Monzone Physician Assistant 4571 Colonial Blvd, Suite 210, Fort Myers, FL 33966-1156 2013-10-16
1588005383 21st Century Oncology LLC Durable Medical Equipment & Medical Supplies 4571 Colonial Blvd, Fort Myers, FL 33966-1156 2013-07-10
1700140878 Specialists In Urology, P.a. Urology 4571 Colonial Blvd, Suite 200, Fort Myers, FL 33966-1156 2012-07-03
1912209800 Specialists In Urology Surgery Center LLC Clinic/Center 4571 Colonial Blvd, Suite 200, Fort Myers, FL 33966 2010-11-26
1861707275 Megan Lavender Menster Nurse Practitioner 4571 Colonial Blvd, Fort Myers, FL 33966-1156 2010-08-10
1124258983 Meagan M Walton Nurse Practitioner 4571 Colonial Blvd, Suite 100, Fort Myers, FL 33966-1156 2009-07-15
1801038070 Scott Von Larson Otolaryngology 4571 Colonial Blvd, Fort Myers, FL 33966-1156 2009-04-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962989566 Samarah A Al-jamali Dentist 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 2018-07-26
1932646171 Jose M Butron Behavioral Analyst 6430 Plantation Park Ct Ste 200, Fort Myers, FL 33966 2017-01-26
1003276833 Katia Jasmin Robinson Lucero Social Worker 3820 Colonial Blvd Suite #102, Fort Myers, FL 33966 2016-03-07
1578947610 Christian Milanes Dentist 9330 Ben C. Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33966 2015-07-18
1003166273 Reetane Singh Dentist 9330 Ben C Pratt Six Mile, Cypress Parkway, Fort Myers, FL 33966 2012-09-14
1518216159 Lee Mental Health Center Community Based Residential Treatment Facility, Mental Illness 10140 Deer Run Farms Road, Fort Myers, FL 33966 2012-08-29
1033482724 Planned Parenthood of Southwest and Central Florida Inc. Obstetrics & Gynecology 6418 Commerce Park Drive, Fort Myers, FL 33966 2012-02-11
1013292291 J Kru Therapy LLC Dba Focus Physical Therapist 4997 Royal Gulf Cir, Fort Myers, FL 33966 2011-10-19
1528354651 American In-home Care, LLC Home Health 3800 Colonial Blvd Unit 102, Fort Myers, FL 33966 2011-06-27
1811219256 Vera Marie Rosado-odom Internal Medicine 13340 Metro Pkwy Ste 310, Fort Myers, FL 33966 2010-02-26
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City FORT MYERS
Zip Code 33966

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Dataset Information

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.

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