SUN COAST SURGICAL SUITES LLC
NPI 1043955693
Clinic/Center - Ambulatory Surgical in Fort Myers, FL

Q: What is Sun Coast Surgical Suites LLC's NPI number?

The NPI number for Sun Coast Surgical Suites LLC is 1043955693. It was assigned to this organization in the NPPES registry on April 28, 2022. The provider is doing business as Suncoast Surgical Suites.

Q: What is Sun Coast Surgical Suites LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since April 28, 2022

12731 NEW BRITTANY BLVD, FORT MYERS, FL 33907(954) 906-9536(954) 302-8736 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2022, May 2, 2022, Apr 28, 2022 (3 updates tracked since 2022).

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About Sun Coast Surgical Suites Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUN COAST SURGICAL SUITES LLC (NPI 1043955693), doing business as Suncoast Surgical Suites, is a healthcare organization registered as an ambulatory surgical in Fort Myers, Florida and active in the NPI registry since April 2022. The organization lists Allen Licht, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1043955693

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSUN COAST SURGICAL SUITES LLC

Location Address12731 NEW BRITTANY BLVDFort Myers, FL 33907-3632

Mailing Address12350 Nw 39th St Ste 200Coral Springs, FL 33065-2418 · (954) 906-9536 · Fax (954) 302-8736

Phone(954) 906-9536

Fax(954) 302-8736

Organization SubpartNo

Authorized OfficialAllen LichtManaging Director · (954) 906-9536

Enumeration DateApril 28, 2022

Last NPPES UpdateMay 17, 20223 updates tracked since enumeration

NPPES CertifiedMay 17, 2022

✔ NPI 1043955693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

12731 NEW BRITTANY BLVD, Fort Myers, FL 33907

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Other Names 1

Doing Business AsSuncoast Surgical Suites

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2265514

Sun Coast Surgical Suites LLC · Fort Myers, FL

Expired · Jul 27, 2026

CLIA Number10D2265514

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJuly 28, 2024

Certificate Expiration DateJuly 27, 2026

Laboratory DirectorRichard G. Drucker

Laboratory Phone(954) 906-9536

Laboratory LocationSun Coast Surgical Suites LLC12731 New Brittany Boulevard, Fort Myers, FL 33907

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY B ROBIN M.D.

Ophthalmology