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BLUE WATER SURGERY CENTER
NPI 1164719209
Clinic/Center - Ambulatory Surgical in Port St Lucie, FL

Active since July 08, 2011
6830 S US HIGHWAY 1, PORT ST LUCIE, FL 34952(772) 873-6700(772) 465-5499 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2023, May 19, 2023 (2 updates tracked since 2023).

About Blue Water Surgery Center NPPES

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

BLUE WATER SURGERY CENTER (NPI 1164719209) is a healthcare organization registered as an ambulatory surgical in Port St Lucie, Florida and active in the NPI registry since July 2011. The organization lists Allen Licht, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1164719209
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGICAL SPECIALISTS OF ST LUCIE
Location Address6830 S US HIGHWAY 1Port St Lucie, FL 34952-1410
Mailing Address12350 Nw 39th St Ste 200Coral Springs, FL 33065-2414 · (954) 248-3422
Phone(772) 873-6700
Fax(772) 465-5499
Organization SubpartNo
Authorized OfficialAllen LichtManaging Director · (954) 906-9536
Enumeration DateJuly 8, 2011
Last NPPES UpdateJune 16, 20232 updates tracked since enumeration
NPPES CertifiedJune 16, 2023
✔ NPI 1164719209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in FL · 1570
6830 S US HIGHWAY 1, Port St Lucie, FL 34952
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Other Names 1

Doing Business AsBlue Water Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. KEITH E INGRAM M.D.
Anesthesiology
6830 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
St. Lucie County (772) 873-6700
EAST COAST ANESTHESIA ASSOCIATES PA
Anesthesiology
6830 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
St. Lucie County (772) 934-6443
BLUE WATER ANESTHESIA SERVICES
Anesthesiology
6830 S US HIGHWAY 1
PORT ST LUCIE, FL 34952
St. Lucie County (772) 873-6700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgical Specialists Of St Lucie's NPI number?

The NPI number for Surgical Specialists Of St Lucie is 1164719209. It was assigned to this organization in the NPPES registry on July 8, 2011. The provider is doing business as Blue Water Surgery Center.

Where is Surgical Specialists Of St Lucie located?

Surgical Specialists Of St Lucie is located at 6830 S Us Highway 1, Port St Lucie, FL 34952. The listed phone number is (772) 873-6700.

What is Surgical Specialists Of St Lucie's specialty?

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

What insurance does Surgical Specialists Of St Lucie accept?

Health plans from Ambetter Health and Ambetter of Alabama list Surgical Specialists Of St Lucie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Surgical Specialists Of St Lucie was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.