Surgical Center of Central Florida, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICAL CENTER OF CENTRAL FLORIDA, LLC

Practice address

3221 S Florida Ave Ste a
Lakeland, FL 33803-4550

Phone

(863) 577-0303

Fax

(863) 577-0301

NPI assigned

Nov 3, 2016

Last updated

Oct 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bernard Smith

Title

Executive VP of Operations

Phone

(863) 577-8596

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366994675. Details of each certification follow.

• CCN 10C0001633 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 10C0001633

Legal name

Surgical Center of Central Florida

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jan 29, 2019

Last certification

Jan 29, 2019

Ownership / control type

Proprietary

Facility address

3221 S Florida Ave, Ste a
Lakeland, FL 33803

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1366994675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 107004",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303487004",
            "telephone_number": "863-577-8596",
            "fax_number": "863-619-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 S FLORIDA AVE STE A",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034550",
            "telephone_number": "863-577-0303",
            "fax_number": "863-577-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CENTER OF CENTRAL FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "EXECUTIVE VP OF OPERATIONS",
        "authorized_official_telephone_number": "863-577-8596"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AS14960903",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suprina Green (Alaci Care LLC)
• Adithya Suresh, M.D.
• Niraja Sathyanarayanan Suresh, M.D.
• Shreyas Suresh, DO
• Sunitha Suresh, MD
• Surgicare of Central Florida-Lakeland, LLC (Central Florida Surgicenter)
• Luis Javier Suri Bracero
• Joene Graven Sussex, LCSW
• Lauren Sutherland, M.S.
• Kelly Sutton, L.M.T.

• Ambulatory Surgical Clinic/Center in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.