Active NPI
Tradition Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Port St Lucie, FL
National Provider Identifier
1801343496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- TRADITION SURGERY CENTER, LLC
- Practice address
- 10080 SW Innovation Way Ste 101
Port St Lucie, FL 34987-2129 - Phone
- (772) 345-8700
- NPI assigned
- Sep 1, 2016
- 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
- William Milo
- Title
- VP Operations
- Phone
- (239) 249-4941
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
10080 SW Innovation Way Ste 101
Port St Lucie, FL 34987-2129
Mailing address
10080 SW Innovation Way Ste 101
Port St Lucie, FL 34987-2129
Phone (772) 345-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170725000131 | FL | Part B Supplier - Ambulatory Surgical Center | 2567732548 | Practice locations: Port St Lucie, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Tradition 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 |
|---|---|---|---|
| 10D2128034 | Tradition Surgery Center LLC | Certificate of waiver | Mar 22, 2027 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Sheffield Village, OH
- NPI 1942405741
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Port Saint Lucie, FL
- NPI 1508032137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1801343496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10080 SW INNOVATION WAY STE 101",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349872129",
"telephone_number": "772-345-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10080 SW INNOVATION WAY STE 101",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349872129",
"telephone_number": "772-345-8700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRADITION SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-01",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "MILO",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "VP OPERATIONS",
"authorized_official_telephone_number": "239-249-4941"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.
- 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.