St. Lucie Surgical Center, P.A. in Fort Pierce - Ambulatory Surgical
St. Lucie Surgical Center, P.A. - NPI 1790761393
St. Lucie Surgical Center, P.A. is a Ambulatory Surgical in Fort Pierce, Florida. St. Lucie Surgical Center, P.A. practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for St. Lucie Surgical Center, P.A. is 1790761393. The last update date is 2012-02-20.
St. Lucie Surgical Center, P.A.'s current location address is 1300 N Lawnwood Cir, Fort Pierce, Florida. You can contact this provider via phone number 7724295201 and fax number 7724295204. The mailing address for St. Lucie Surgical Center, P.A. is 1300 N Lawnwood Cir, Fort Pierce, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Lucie Surgical Center, P.A. |
|---|---|
| Address | 1300 N Lawnwood Cir, Fort Pierce, Florida |
| Phone Number | 7724295201 |
| Fax Number | 7724295204 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Korlipara Prasad Anjanaya |
| Credentials | M.D. |
| Telephone Number | 7724295201 |
NPI Number Detail
| NPI Number | 1790761393 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2012-02-20 |
Provider Mailing Address Detail
| Address | 1300 N Lawnwood Cir |
|---|---|
| City | Fort Pierce |
| State | Florida (FL) |
| Post Code | 349504884 |
| Phone Number | 7724295201 |
| Fax Number | 7724295204 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 1107 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70735000 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to St. Lucie Surgical Center, P.A.?
The St. Lucie Surgical Center, P.A. has been issued the NPI (National Provider Identifier) 1790761393 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of St. Lucie Surgical Center, P.A.?
The St. Lucie Surgical Center, P.A. is physically situated at 1300 N Lawnwood Cir, in the city of Fort Pierce, state of FL, with the postal code 349504884.
What is the area of specialization for St. Lucie Surgical Center, P.A., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for St. Lucie Surgical Center, P.A. is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.
On what date did St. Lucie Surgical Center, P.A. receive its 1790761393 assignment from the Centers for Medicare & Medicaid Services?
The St. Lucie Surgical Center, P.A. was assigned its 1790761393 on 2005-12-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding St. Lucie Surgical Center, P.A., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to St. Lucie Surgical Center, P.A., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-02-20.