Surgery Center Of Ft. Pierce

LBN: Surgery Center Of Ft Pierce Ltd
Surgery Center Of Ft. Pierce is an health care organization with primary practice located at 1707 S 25Th St , Fort Pierce FL 34947-4709. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Surgery Center Of Ft Pierce Ltd can be contacted via phone (772) 464-8900, or through Liedtke, Don via phone (614) 344-5507.

Contact Information

Primary practice address
1707 S 25Th St Fort Pierce FL 34947-4709
Phone: (772) 464-8900
Fax: (772) 464-1104
Website:
Map and Directions
Authorized official contact:
Name: Liedtke, Don
Phone: (614) 344-5507

Health care specialties

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

Profile Details

NPI number 1972545291
LBN Legal business name Surgery Center Of Ft Pierce Ltd
DBA Doing business as Surgery Center Of Ft. Pierce
Authorized official Liedtke, Don
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated May 23rd, 2008 - about 18 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 1972545291 NPPES
Florida MEDICAID 076161300

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