# PERFORMANCE HEALTH SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134684814
- **Authorized official:** JAMIE HEATER (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (919) 329-2882

## Contact information

- **Practice address:** 9500 GULF RESEARCH LANE, FORT MYERS, FL 33912
- **Practice address phone:** (919) 329-2882
- **Mailing address:** 9500 GULF RESEARCH LANE, FORT MYERS, FL 33912-3267
- **Mailing address phone:** (239) 314-0660
- **Mailing address fax:** (239) 314-0630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2019
- **Last updated:** 02/17/2020