Organization
PHYSICIANS SURGERY CENTER LLC
Active
Other names
National Spine & Ortho Surgery Center of Ft. Myers
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEKA TINCH (RCM MANAGER, CREDENTIALING & ENROLL)
(470) 798-7293
Entity
Organization
Contact information
Practice address
4035 EVANS AVE, FT MYERS, FL 33901-9308
(239) 788-0604
(239) 230-0041
Mailing address
4960 SW 72ND AVE STE 405, MIAMI, FL 33155-5506
(469) 458-9222
(540) 918-7202
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062967700
—
FL
Enumeration date
06/17/2005
Last updated
04/08/2026
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