Organization Active NPI

PRS Surgical, LLC

  • Ambulatory Surgical Clinic/Center
  • Ft Lauderdale, FL
National Provider Identifier
1073404877
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
PRS SURGICAL, LLC
Practice address
2745 NW 62ND St
Ft Lauderdale, FL 33309-1721
Phone
(586) 260-4665
NPI assigned
Jul 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Samantha Larson, RN
Title
VP of Operations
Phone
(586) 260-4665

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2745 NW 62ND St
Ft Lauderdale, FL 33309-1721

Mailing address

2745 NW 62ND St
Ft Lauderdale, FL 33309-1721

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2339098PRS Surgical, LLC Dba Surgical Relief Institute2745 NW 62ND St, Fort Lauderdale, FL 33309Certificate of waiverFeb 23, 2028

National Provider Directory

National Provider Directory

Locations

2745 NW 62nd St
Ft Lauderdale, FL 33309
Phone (586) 260-4665

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1073404877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 NW 62ND ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 NW 62ND ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091721",
            "telephone_number": "586-260-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRS SURGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "586-260-4665",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.