Organization Active NPI

Florida Coastal Surgery Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Naples, FL
National Provider Identifier
1003812686
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1067 Issued in FL
Legal business name
FLORIDA COASTAL SURGERY CENTER, INC
Practice address
801 Anchor Rode Drive
Suite 100
Naples, FL 34103-2742
Phone
(239) 263-1717
Fax
(239) 403-9410
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Nicole M. Babb
Title
Billing Manager
Phone
(239) 263-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1067 FL Primary

Addresses

Primary practice location

801 Anchor Rode Drive
Suite 100
Naples, FL 34103-2742

Mailing address

801 Anchor Rode Drive
Suite 100
Naples, FL 34103-2742
Phone (239) 263-1717

Other identifiers 2

IdentifierTypeStateIssuer
313355OtherFLUHC
67YOtherFLBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003812686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ANCHOR RODE DRIVE",
            "address_2": "SUITE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032742",
            "telephone_number": "239-263-1717",
            "fax_number": "239-403-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ANCHOR RODE DRIVE",
            "address_2": "SUITE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032742",
            "telephone_number": "239-263-1717",
            "fax_number": "239-403-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA COASTAL SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BABB",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "239-263-1717",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "313355",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "67Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.