Surgcenter Of Pine Ridge Llc

LBN: Surgcenter Of Pine Ridge Llc
Surgcenter Of Pine Ridge Llc is an health care organization with primary practice located at 12871 Trade Way Dr Ste 12, Bonita Springs FL 34135-7334. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Surgcenter Of Pine Ridge Llc can be contacted via phone (239) 478-0051, or through Johnson, Eric M via phone (239) 478-0051.

Contact Information

Primary practice address
12871 Trade Way Dr Ste 12 Bonita Springs FL 34135-7334
Fax:
Website:
Authorized official contact:
Name: Johnson, Eric M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1285202077
LBN Legal business name Surgcenter Of Pine Ridge Llc
DBA Doing business as
Authorized official Johnson, Eric M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2021
Last updated Aug 20th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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