Active NPI
Merritt Island Outpatient Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Merritt Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MERRITT ISLAND OUTPATIENT SURGERY CENTER, LLC
- Practice address
- 450 E Merritt Island Cswy Ste 400
Merritt Island, FL 32952 - Phone
- (321) 735-6221
- Fax
- (813) 864-4436
- NPI assigned
- Aug 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracie Gari
- Title
- Chief Administrative Officer
- Phone
- (813) 549-2134
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary | ||
| General Acute Care Hospital | 282N00000X |
Addresses
Primary practice location
450 E Merritt Island Cswy Ste 400
Merritt Island, FL 32952
Mailing address
PO Box 628771
Orlando, FL 32862-8771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190109002422 | FL | Part B Supplier - Ambulatory Surgical Center | 8820334063 | Practice locations: Merritt Island, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Merritt Island Outpatient Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2161139 | Merritt Island Outpatient Surgery Center | Certificate of waiver | Jan 27, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
450 E Merritt Island Cswy
Merritt Island, FL 32952
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Tampa, FL
- NPI 1659315190
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1457649238
-
- Anesthesiology Physician
- Deland, FL
- NPI 1790794246
-
- Pain Medicine (Anesthesiology) Physician
- Melbourne, FL
- NPI 1174841084
-
- Anesthesiology Physician
- Effingham, IL
- NPI 1619993847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758326400000",
"number": "1407335458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 628771",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328628771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E MERRITT ISLAND CSWY STE 400",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "32952",
"telephone_number": "321-735-6221",
"fax_number": "813-864-4436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERRITT ISLAND OUTPATIENT SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-10",
"last_updated": "2025-09-20",
"certification_date": "2025-09-20",
"status": "A",
"authorized_official_last_name": "GARI",
"authorized_official_first_name": "TRACIE",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "813-549-2134"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merritt Island, FL
- Merritt Island ASC LLC
- Merritt Island Chiropractic, LLC
- Merritt Island Conscious Sedation
- Merritt Island Foot & Ankle Inc
- Merritt Island Health Care Associates LLC
- Merritt Island Pharmacy
- Merritt Island Pharmacy
- Merritt Island Rehab LLC
- Merritt Island RHF Housing, Inc
- Merritt Island Walk in Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.