Organization
SURGICARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BECKER (CFO)
(470) 243-2259
Entity
Organization
Contact information
Practice address
4101 EVANS AVE, FORT MYERS, FL 33901-9310
(239) 939-3456
(239) 790-2432
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
PH10568
FL
261QS0132X
Ophthalmologic Surgery Clinic/Center
800009615
FL
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
PH10568
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062937500
—
FL
01
—
10C0001029
CCN
—
Enumeration date
10/19/2006
Last updated
04/28/2026
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