# TREASURE COAST SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Treasure Coast Center for Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154504728
- **Authorized official:** JOHN C WILSON JR. (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (615) 301-8144

## Contact information

- **Practice address:** 1155 SE MONTEREY ROAD EXT, STUART, FL 34994-4617
- **Practice address phone:** (772) 286-8028
- **Practice address fax:** (772) 283-6628
- **Mailing address:** 1155 SE MONTEREY ROAD EXT, STUART, FL 34994-4617
- **Mailing address phone:** (772) 286-8028
- **Mailing address fax:** (772) 283-6628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 1002 | FL | Yes |

## Other

- **Enumeration date:** 12/06/2007
- **Last updated:** 01/21/2015