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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Street Address |
4571 COLONIAL BLVD |
City | FORT MYERS |
State | FL |
Zip Code | 33966-1156 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 33966 |
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 | 33966 |
Please comment or provide details below to improve the information on COLONIAL OUTPATIENT 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.