Healthcare Provider Details
I. General information
NPI: 1841979564
Provider Name (Legal Business Name): SURGCENTER OF MARTIN COUNTY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/12/2023
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6151 SE FEDERAL HWY
STUART FL
34997-8106
US
IV. Provider business mailing address
6151 SE FEDERAL HWY
STUART FL
34997-8106
US
V. Phone/Fax
- Phone: 772-247-2005
- Fax: 772-872-5907
- Phone: 772-247-2005
- Fax: 772-872-5907
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANUJ
PRASHER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 772-247-2005