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NPI Code Detail

MEDICARE: BARKLEY SURGICENTER, LLC

MEDICARE: BARKLEY SURGICENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center823FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1490002295OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
263QOTHERFLBCBS
30857955OTHERFLCIGNA
48720114OTHERFLAETNA
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750363461
Entity Type Code : Organization
Provider Name (Legal Business Name) : BARKLEY SURGICENTER, LLC
Provider Business Mailing Address
First Line : 63 BARKLEY CIR STE 104
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-4514
Country : US
Telephone Number : 239-275-8452
Fax Number : 239-274-3182
Provider Business Practice Location Address
First Line : 63 BARKLEY CIR STE 104
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-4514
Country : US
Telephone Number : 239-275-8452
Fax Number : 239-274-3182
Authorized Official
Title or Position : MARKET PRESIDENT
Name : COLLIN LEMAISTRE
Credential :
Telephone Number : 214-213-0732
Provider Enumeration Date : 11/17/2005
Last Update Date : 09/13/2024

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1558315069 — DR. JOHN C RODRIGUEZ MD
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1174577266 — DR. RICHARD J PRY MD
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Practice Fax: 239-278-0588
1033163142 — DR. MAI F SAIF MD
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1275587388 — DR. JEFFREY R SONN DO
Practice Location Address:
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1821044553 — DR. GREGORY A MICHAELS MD
Practice Location Address:
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Practice Fax: 239-278-0055

Directions to “BARKLEY SURGICENTER, LLC ” Practice Location

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