PERFORMANCE HEALTH SURGERY CENTER – NPI #1134684814
Clinic/Center

PERFORMANCE HEALTH SURGERY CENTER is an AHC clinic located in FORT MYERS, FL. NPPES has assigned the NPI number 1134684814 to PERFORMANCE HEALTH SURGERY CENTER on February 06, 2019. 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 previously updated about 6 years ago on Feb 17, 2020. 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 PERFORMANCE HEALTH SURGERY CENTER below.

NPI Profile for
PERFORMANCE HEALTH SURGERY CENTER

NPI Number
1134684814
Enumeration Date

(more than 7 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
PERFORMANCE HEALTH SURGERY CENTER
Primary location
9500 GULF RESEARCH LANE
FORT MYERS, FL 33912
Phone: (919) 329-2882 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMIE HEATER
DIRECTOR OF OPERATIONS
Phone: (919) 329-2882
Updated
Certification Date
Feb 17, 2020

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.

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.