SUNCOAST SURGERY CENTER, LLC – NPI #1043290653
Clinic/Center

SUNCOAST SURGERY CENTER, LLC is an AHC clinic located in FORT MYERS, FL. NPPES has assigned the NPI number 1043290653 to SUNCOAST SURGERY CENTER, LLC on January 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Jul 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUNCOAST SURGERY CENTER, LLC below.

NPI Profile for
SUNCOAST SURGERY CENTER, LLC

NPI Number
1043290653
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUNCOAST SURGERY CENTER, LLC
Primary location
9617 GULF RESEARCH LN
FORT MYERS, FL 33912-4555
Phone: (239) 791-2273 Fax: (239) 790-0375
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAM MARRERO
CREDENTIALING SPECIALISTS
Phone: (239) 215-6884
Updated
Certification Date
Jul 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SUNCOAST SURGERY CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICAREFLPQ509
otherRAIL ROAD MEDICAREFL490004635
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.