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General NPI Number Information
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NPI Number | 1770588584
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Entity Type | Organization
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Legal Business Name | PHYSICIANS SURGERY CENTER LLC
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 4035 EVANS AVE
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City | FT MYERS
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State | FL
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Zip | 33901-9308
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Country | US
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Telephone | 239-788-0604
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Fax | 239-230-0041
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Provider Business Mailing Address
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Address Line | 4960 SW 72ND AVE STE 405
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City | MIAMI
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State | FL
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Zip | 33155-5506
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Country | US
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Telephone | 469-458-9222
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Fax | 540-918-7202
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Authorized Official
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Title or Position | RCM SR. DIRECTOR
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Name | NICOLE FINKLE
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Credential |
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Telephone | 719-243-9490
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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 | 815
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License Number State | FL
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