Active NPI
Surgicare Center LLC
- Ambulatory Surgical Clinic/Center
- Fort Myers, FL
National Provider Identifier
1598846925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- PH10568
- Legal business name
- SURGICARE CENTER LLC
- Practice address
- 4101 Evans Ave
Fort Myers, FL 33901-9310 - Phone
- (239) 939-3456
- Fax
- (239) 790-2432
- NPI assigned
- Oct 19, 2006
- 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
- Kevin Becker
- Title
- Cfo
- Phone
- (470) 243-2259
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | PH10568 | FL | Primary |
Addresses
Primary practice location
4101 Evans Ave
Fort Myers, FL 33901-9310
Mailing address
PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10C0001029 | Other | CCN | |
| 062937500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120409000574 | FL | Part B Supplier - Ambulatory Surgical Center | 5496807745 | Practice locations: Fort Myers, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Surgicare Center Inc
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Eye Centers of Florida Surgicare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Fort Myers, FL
- NPI 1952477333
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Estero, FL
- NPI 1912355645
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1386634467
-
- Ophthalmology Physician
- Bradenton, FL
- NPI 1043646672
-
- Ophthalmology Physician
- Fort Myers, FL
- NPI 1962453480
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1700850575
-
- Retina Specialist (Ophthalmology) Physician
- Bonita Springs, FL
- NPI 1437315033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777334400000",
"number": "1598846925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352468575",
"telephone_number": "864-359-1308",
"fax_number": "239-496-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 EVANS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019310",
"telephone_number": "239-939-3456",
"fax_number": "239-790-2432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "470-243-2259"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "PH10568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "10C0001029",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062937500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Surgical Consulting Group PA
- Surgical Healing Arts Center, LLC (Surgical Healing Arts)
- Surgical Specialists of Southwest Florida P.a. (Surgical Specialists of Southwest Florida)
- Surgical Spine Associates, LLC (Anesthesia Partners of SWFL)
- Surgicare Center
- Susan R King PSYD PA
- Susan Support Services
- Susana Izquierdo Therapy Solutions, LLC
- Keith S. Susko, M.D.
- Morgan Elise Sutherland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.