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General NPI Number Information
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NPI Number | 1174030878
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Entity Type | Organization
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Legal Business Name | STUART SURGERY CENTER, LLC
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Dates
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Enumeration Date | 01/03/2018
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 2096 SE OCEAN BLVD
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City | STUART
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State | FL
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Zip | 34996-3304
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Country | US
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Telephone | 772-223-5058
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Fax |
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Provider Business Mailing Address
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Address Line | 2096 SE OCEAN BLVD
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City | STUART
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State | FL
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Zip | 34996-3304
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Country | US
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Telephone | 772-263-8400
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Fax |
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Authorized Official
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Title or Position | VP OPERATIONS
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Name | WILLIAM MILO
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Credential |
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Telephone | 239-249-4941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | FL
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