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Organization
ST. JOHNS SURGERY CENTER, LLC
Active
Organization
ST. JOHNS SURGERY CENTER, LLC
Active
Parent organization
ST. JOHNS SURGERY CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. JOHNS SURGERY CENTER, LLC
Authorized official
MR. KEVIN BECKER (CFO)
(470) 243-2259
Entity
Organization
Contact information
Practice address
8901 CONFERENCE DR, FORT MYERS, FL 33919-4895
(239) 466-9555
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1238
PTAN
FL
Enumeration date
10/17/2005
Last updated
04/10/2026
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