Organization
ST. BARBARA'S SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS WOODELL (VP OF RCM)
(817) 291-6293
Entity
Organization
Contact information
Practice address
1745 HERITAGE TRL, NAPLES, FL 34112-7591
(239) 350-3389
(239) 350-3390
Mailing address
44 BARKLEY CIR, FORT MYERS, FL 33907-7530
(239) 985-7171
(239) 985-7118
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
01
—
RB456
PTAN
FL
Enumeration date
08/31/2022
Last updated
01/23/2024
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