INTRACOASTAL SURGERY CENTER, LLC
NPI 1326527680
Clinic/Center - Ambulatory Surgical in Melbourne, FL

Active since August 08, 2018CLIA 10D2153558 · Waiver
2200 W EAU GALLIE BLVD STE 100, MELBOURNE, FL 32935(321) 795-6095 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2024, Mar 20, 2019, Nov 13, 2018 and 1 more (4 updates tracked since 2018).

About Intracoastal Surgery Center, Llc NPPES

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

INTRACOASTAL SURGERY CENTER, LLC (NPI 1326527680) is a healthcare organization registered as an ambulatory surgical in Melbourne, Florida and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Collin Lemaistre, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1326527680
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameINTRACOASTAL SURGERY CENTER, LLC
Location Address2200 W EAU GALLIE BLVD STE 100Melbourne, FL 32935-3166
Mailing Address2200 W Eau Gallie Blvd Ste 100Melbourne, FL 32935-3166 · (321) 795-6095
Organization SubpartNo
Authorized OfficialCollin LemaistreOfficer/authorized Official · (214) 213-0732
Enumeration DateAugust 8, 2018
Last NPPES UpdateFebruary 18, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
NPI 1326527680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2200 W EAU GALLIE BLVD STE 100, Melbourne, FL 32935

Accepted Insurance

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 10D2153558

Intracoastal Surgery Center, LLC · Melbourne, FL
Active · expires Aug 27, 2026
CLIA Number10D2153558
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorKyle Moyles
Laboratory Phone(321) 795-6095
Laboratory LocationIntracoastal Surgery Center, LLC2200 W Eau Gallie Blvd Ste 100, Melbourne, FL 32935
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
2,128 services16 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
163 services149 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
134 services99 patients
Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
89 services85 patients
Release and/or relocation of elbow nerve 64718
This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.
30 services29 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
27 services27 patients

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 Intracoastal Surgery Center, LLC's NPI number?

The NPI number for Intracoastal Surgery Center, LLC is 1326527680. It was assigned to this organization in the NPPES registry on August 8, 2018.

Where is Intracoastal Surgery Center, LLC located?

Intracoastal Surgery Center, LLC is located at 2200 W Eau Gallie Blvd Ste 100, Melbourne, FL 32935. The listed phone number is (321) 795-6095.

What is Intracoastal Surgery Center, LLC's specialty?

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

Does Intracoastal Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2153558) is associated with this NPI, valid through August 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Intracoastal Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 6 other insurers list Intracoastal Surgery Center, LLC 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 Intracoastal Surgery Center, LLC was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.