Organization
ST LUKES SURGICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK H LINDBERG (AUTHORIZED OFFICIAL)
(727) 943-3111
Entity
Organization
Contact information
Practice address
43309 US HIGHWAY 19 N, TARPON SPRINGS, FL 34689-6221
(727) 943-3111
(727) 943-3334
Mailing address
43309 US HIGHWAY 19 N, TARPON SPRINGS, FL 34689-6221
(727) 943-3111
(727) 943-3334
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062925100
—
FL
01
—
490001154
RR MEDICARE
FL
01
—
639
BCBS
FL
01
—
665037
AETNA
FL
Enumeration date
09/15/2005
Last updated
03/12/2025
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