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
04/10/2026
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