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Organization
ST. LUCY'S OUTPATIENT SURGERY CENTER, LLC
Active
Organization
ST. LUCY'S OUTPATIENT SURGERY CENTER, LLC
Active
Other names
St. Lucy's Outpatient Surgery Center, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BECKER (CFO)
(470) 243-2259
Entity
Organization
Contact information
Practice address
21275 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6704
(941) 625-1325
(941) 625-0131
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79068100
—
FL
Enumeration date
07/14/2005
Last updated
05/19/2026
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