| Organization Name: | FLORIDA COASTAL SURGERY CENTER, INC |
| NPI Number: | 1003812686 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLE M. BABB (BILLING MANAGER) |
| Mailing Address: | 801 Anchor Rode Drive Suite 100 Naples |
| State: | FL US |
| Postal Code: | 341032742 |
| Phone Number: | 2392631717 |
| Fax Number: | 2394039410 |
| NPI Enumeration Date: | 06/28/2005 |
| NPI Last Update Date: | 02/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 1067 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |