PERFORMANCE HEALTH SURGERY CENTER (NPI# 1134684814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134684814 |
| Entity Type | Organization |
| Organization Name | PERFORMANCE HEALTH SURGERY CENTER |
| Practice Address |
9500 Gulf Research Lane Fort Myers FL 33912 |
| Mailing Address |
9500 Gulf Research Lane Fort Myers FL 33912-3267 |
| Practice Telephone | 9193292882 |
| Mailing Telephone | 2393140660 |
| Mailing Fax Number | 2393140630 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | JAMIE HEATER (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9193292882 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
9500 GULF RESEARCH LANE |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| 1043601453 | Jenny Conrado | Nurse Practitioner | 13670 Metropolis Ave Ste 106, Fort Myers, FL 33912 | 2015-02-08 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801458989 | Millennium Surgery Centers of Florida, LLC | Clinic/Center | 8380 Riverwalk Park Blvd Ste 220, Fort Myers, FL 33919-8758 | 2019-06-28 |
| 1861052896 | Premier Adult and Childrens Surgery Center LLC | Clinic/Center | 5238 Mason Corbin Ct Ste 101, Fort Myers, FL 33907-7738 | 2019-06-20 |
| 1972092146 | Surgery Centre of Sw Florida LLC | Clinic/Center | 13051 University Dr Ste 102, Fort Myers, FL 33907 | 2018-05-03 |
| 1265882096 | Prp Centers of Florida LLC | Clinic/Center | 1225 Sunbury Dr, Fort Myers, FL 33901-8738 | 2016-06-13 |
| 1992970230 | Park Center for Procedures LLC | Clinic/Center | 8255 College Parkway, Fort Myers, FL 33919-5193 | 2008-04-28 |
| 1609090257 | World Plaza Surgery LLC | Clinic/Center | 12640 World Plaza Ln # 71, Fort Myers, FL 33907-3987 | 2007-04-13 |
| 1225199482 | St Marks Surgical Center LLC | Clinic/Center | 6820 International Center Blvd, Fort Myers, FL 33912 | 2006-12-12 |
| 1457448912 | Gladiolus Surgery Center, LLC | Clinic/Center | 7431 Gladiolus Surgery Center, Fort Myers, FL 33908 | 2006-10-06 |
| 1053347203 | Dermatologic and Cosmetic Surgery | Clinic/Center | 2668 Swamp Cabbage Ct, Fort Myers, FL 33901-9332 | 2006-06-22 |
| 1477526143 | Ft Myers Fl Ophthalmology Asc LLC | Clinic/Center | 13051 University Dr, Suite 102, Fort Myers, FL 33907-5751 | 2006-02-10 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
Please comment or provide details below to improve the information on PERFORMANCE HEALTH SURGERY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.