TRAILS EDGE SURGERY CENTER, LLC – NPI #1639650161
Clinic/Center

TRAILS EDGE SURGERY CENTER, LLC is an AHC clinic located in BONITA SPRINGS, FL. NPPES has assigned the NPI number 1639650161 to TRAILS EDGE SURGERY CENTER, LLC on August 23, 2018. 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

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 TRAILS EDGE SURGERY CENTER, LLC below.

NPI Profile for
TRAILS EDGE SURGERY CENTER, LLC

NPI Number
1639650161
Enumeration Date

(about 8 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
TRAILS EDGE SURGERY CENTER, LLC
Primary location
28930 TRAILS EDGE BLVD
BONITA SPRINGS, FL 34134-7582
Phone: (239) 333-3200 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACKY LUCIA
CHIEF ADMINISTRATIVE OFFICER
Phone: (239) 963-7365
Updated
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.