Port St Lucie Surgery Center LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1040 Issued in FL

Legal business name

PORT ST LUCIE SURGERY CENTER LTD

Practice address

1310 SE West Star Ave
Port St Lucie, FL 34952-7557

Phone

(772) 337-5200

Fax

(772) 337-7955

NPI assigned

Apr 17, 2006

Last updated

Sep 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David McKnight

Title

VP / Cfo

Phone

(972) 789-2816

Specialties & licenses 1

Addresses

Other identifiers 1

Listed as

Port St Lucie Surgery Center LTDCCN 10C0001273

Medicare certification status

Terminated Voluntary: merger or closure, Oct 2, 2025From the Provider of Services file

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1871557652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SE WEST STAR AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527557",
            "telephone_number": "772-337-5200",
            "fax_number": "772-337-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SE WEST STAR AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527557",
            "telephone_number": "772-337-5200",
            "fax_number": "772-337-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT ST LUCIE SURGERY CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP / CFO",
        "authorized_official_telephone_number": "972-789-2816"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079224100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Port St Lucie Nursing LLC (The Palms Nursing and Rehab at Port St. Lucie)
• Port St Lucie Operating Corp (Port St. Lucie Nursing & Restorataive Care Center)
• Port St Lucie Pain Management PLLC
• Port St Lucie Pain Management Specialists Inc (Port St Lucie Pain Management Specialists)
• Port St Lucie Retirement Investors LLC
• Port St. Lucie FL Opco LLC
• Port St. Lucie Operations, LLC (Life Care Center of Port St. Lucie)
• Felicia Porter
• Portia F Boatwright Inc (Simple Choice Healthcare)
• Positive Solutions

• Ambulatory Surgical Clinic/Center in Port St Lucie, FL
• Providers in Port St Lucie, 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 Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.