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General NPI Number Information
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NPI Number | 1598846925
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Entity Type | Organization
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Legal Business Name | SURGICARE CENTER LLC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 4101 EVANS AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-9310
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Country | US
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Telephone | 239-939-3456
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Fax | 239-790-2432
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Provider Business Mailing Address
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Address Line | 4101 EVANS AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-9310
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Country | US
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Telephone | 239-939-3456
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Fax | 239-790-2432
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Authorized Official
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Title or Position | CFO
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Name | KEVIN BECKER
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Credential |
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Telephone | 706-243-2259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number | 800009615
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number | PH10568
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License Number State | FL
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