NPIMap

Organization Active NPI

Harborside Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Punta Gorda, FL
National Provider Identifier
1730118555
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
10C0001220 Issued in FL
Legal business name
HARBORSIDE SURGERY CENTER, LLC
Practice address
610 E Olympia Ave
Suite 100
Punta Gorda, FL 33950-3875
Phone
(941) 637-0065
Fax
(941) 639-6545
NPI assigned
Jul 2, 2006
Last updated
Aug 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

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

Authorized official

Name
Mrs. Arlinda B Dunn
Title
Administrator
Phone
(941) 833-1104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 10C0001220 FL Primary

Addresses

Primary practice location

610 E Olympia Ave
Suite 100
Punta Gorda, FL 33950-3875

Mailing address

610 E Olympia Ave
Suite 100
Punta Gorda, FL 33950-3875
Phone (941) 637-0065

Other identifiers 1

IdentifierTypeStateIssuer
079174100MedicaidFL

National Provider Directory

National Provider Directory

Locations

610 E Olympia Ave
Ste 100
Punta Gorda, FL 33950
Phone (941) 625-1951

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345161600000",
    "number": "1730118555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E OLYMPIA AVE",
            "address_2": "SUITE 100",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503875",
            "telephone_number": "941-637-0065",
            "fax_number": "941-639-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E OLYMPIA AVE",
            "address_2": "SUITE 100",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503875",
            "telephone_number": "941-637-0065",
            "fax_number": "941-639-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBORSIDE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2012-08-17",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "ARLINDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-833-1104",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "10C0001220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079174100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.