St. Lucie Surgical Center, P.A.

LBN: St. Lucie Surgical Center, P.A.
St. Lucie Surgical Center, P.A. is an health care organization with primary practice located at 1300 N Lawnwood Cir , Fort Pierce FL 34950-4884. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. St. Lucie Surgical Center, P.A. can be contacted via phone (772) 429-5201, or through Korlipara, Anjanaya Prasad via phone (772) 429-5201.

Contact Information

Primary practice address
1300 N Lawnwood Cir Fort Pierce FL 34950-4884
Phone: (772) 429-5201
Fax: (772) 429-5204
Website:
Map and Directions
Authorized official contact:
Name: Korlipara, Anjanaya Prasad Doctor of Medicine (MD)
Phone: (772) 429-5201

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 1107 Florida

Profile Details

NPI number 1790761393
LBN Legal business name St. Lucie Surgical Center, P.A.
DBA Doing business as
Authorized official Korlipara, Anjanaya Prasad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2005
Last updated Feb 20th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790761393 NPPES
Florida MEDICAID 070735000

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