MEDICARE: PHYSICIANS SURGERY CENTER 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
1	261QA1903X	Ambulatory Surgical Clinic/Center	815	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770588584
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICIANS SURGERY CENTER LLC

Provider Business Mailing Address
First Line	:	4960 SW 72ND AVE STE 405
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-5506
Country	:	US
Telephone Number	:	469-458-9222
Fax Number	:	540-918-7202

Provider Business Practice Location Address
First Line	:	4035 EVANS AVE
Second Line	:
City	:	FT MYERS
State	:	FL
Zip	:	33901-9308
Country	:	US
Telephone Number	:	239-788-0604
Fax Number	:	239-230-0041

Authorized Official
Title or Position	:	RCM SR. DIRECTOR
Name	:	NICOLE FINKLE
Credential	:
Telephone Number	:	719-243-9490

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	10/21/2025

Similar Medicare Providers

1215928189 — WAYNE ISAACSON M.D.
Practice Location Address:

4035 EVANS AVE , SUITE 1
FORT MYERS, FL
33901-9308

Practice Phone: 239-939-7375
Practice Fax: 239-939-5105

1306899349 — COLLIER ANESTHESIA PAIN LLC
Practice Location Address:

4035 EVANS AVE , SUITE 1
FORT MYERS, FL
33901-9308

Practice Phone: 239-939-7375
Practice Fax: 239-939-5105

1770698706 — WAYNE ISAACSON MD
Practice Location Address:

4035 EVANS AVE , STE 1
FORT MYERS, FL
33901-9308

Practice Phone: 239-939-7375
Practice Fax: 239-939-5105

1245667542 — SUMMERLIN ANESTHESIA, INC.
Practice Location Address:

4035 EVANS AVE
FORT MYERS, FL
33901-9308

Practice Phone: 239-466-8838
Practice Fax:

1023011749 — DR. DIEGO P ANDRADE M.D.
Practice Location Address:

4048 EVANS AVE , STE 303
FT MYERS, FL
33901-9390

Practice Phone: 239-332-5344
Practice Fax: 239-332-7246

1154324762 — CHILDREN'S ADVOCACY CENTER OF SW FL, INC
Practice Location Address:

3900 BROADWAY , STE B-1
FT MYERS, FL
33901-8193

Practice Phone: 239-939-2808
Practice Fax: 239-939-4794

Directions to “PHYSICIANS SURGERY CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.