Surgery Center of Southwest Florida Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1125 Issued in FL

Legal business name

SURGERY CENTER OF SOUTHWEST FLORIDA INC

Practice address

12631 Whitehall Dr
Ft Myers, FL 33907-3626

Phone

(239) 939-4758

Fax

(239) 479-7874

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul R Bretton, MD

Title

Medical Director

Phone

(239) 939-4758

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1689624793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 WHITEHALL DR",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339073626",
            "telephone_number": "239-939-4758",
            "fax_number": "239-479-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12631 WHITEHALL DR",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339073626",
            "telephone_number": "239-939-4758",
            "fax_number": "239-479-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF SOUTHWEST FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "BRETTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-939-4758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075319000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Sunter, CNM
• Super Minds ABA Therapy LLC
• Superior Private Transportation of SWFL LLC
• Apinya Suppatkul, PHARM.D.
• Samantha Dawn Surace, FAMILY NURSE PRACTIT
• Surgery Centre of SW Florida LLC (Fort Myers Surgery Center)
• Surgical Consultants of Southwest Florida, LLC (Gulf Coast Bariatrics)
• Surgical Consulting Group PA
• Surgical Healing Arts Center, LLC (Surgical Healing Arts)
• Surgical Specialists of Southwest Florida P.a. (Surgical Specialists of Southwest Florida)

• Ambulatory Surgical Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, 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 Feb 1, 2012; 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.