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PROMENADES SURGERY CENTER LLC
NPI 1336181742
Clinic/Center - Ambulatory Surgical in Port Charlotte, FL

Active since June 11, 2006CLIA 10D0997759 · Waiver
3222 TAMIAMI TRL, PORT CHARLOTTE, FL 33952(941) 627-5155 Get Directions Write a Review

NPPES record last updated: January 14, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Promenades Surgery Center Llc NPPES

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

PROMENADES SURGERY CENTER LLC (NPI 1336181742) is a healthcare organization registered as an ambulatory surgical in Port Charlotte, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Issa F Baroudi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1336181742
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePROMENADES SURGERY CENTER LLC
Location Address3222 TAMIAMI TRLPort Charlotte, FL 33952-8048
Mailing Address3222 Tamiami TrlPort Charlotte, FL 33952-8048 · (941) 627-5155
Phone(941) 627-5155
Organization SubpartNo
Authorized OfficialIssa F BaroudiMedical Director · (941) 627-5155
Enumeration DateJune 11, 2006
Last NPPES UpdateJanuary 14, 2013
✔ NPI 1336181742 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 · 1149
3222 TAMIAMI TRL, Port Charlotte, FL 33952
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedF1376FL · Medicare Provider Number

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 10D0997759

Promenades Surgery Center LLC · Port Charlotte, FL
Active · expires Mar 26, 2028
CLIA Number10D0997759
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorIssa F. Baroudi
Laboratory Phone(941) 627-5155
Laboratory LocationPromenades Surgery Center LLC3222 Tamiami Trail, Port Charlotte, FL 33952
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

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.

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032
This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
56 services42 patients
Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less 15220
A full-thickness skin graft involves transferring a layer of skin from one area of the body to the scalp, arms, or legs. This procedure, covering an area 20.0 sq cm or less, aids in healing wounds or areas with skin loss. It's a safe, common surgical practice.
44 services36 patients
Full thickness skin graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 20.0 sq cm or less 15240
A full thickness skin graft involves transplanting skin from one area of the body to another. In this case, to the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The procedure helps heal areas affected by injury or disease, covering an area of 20.0 sq cm or less.
42 services36 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052
This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.
39 services34 patients
Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less 14020
This procedure involves repairing a wound on your scalp, arm, or leg by transferring a small piece of skin, 10.0 sq cm or less, from a different area of your body. This skin graft helps promote healing and minimizes scarring.
36 services33 patients
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11642
This procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.
28 services25 patients

Other Providers at the Same Location NPPES 4

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

BERNICE BAROUDI DO
Dermatology
3222 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Charlotte County (941) 627-5155
ISSA F BAROUDI MD PA
Plastic Surgery
3222 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Charlotte County (941) 627-5155
DR. ISSA F BAROUDI M.D.
Specialist
3222 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Charlotte County (941) 627-5155
PROMENADES DERMATOLOGY, LLC
Dermatology
3222 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Charlotte County (941) 627-5155

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 Promenades Surgery Center LLC's NPI number?

The NPI number for Promenades Surgery Center LLC is 1336181742. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Promenades Surgery Center LLC located?

Promenades Surgery Center LLC is located at 3222 Tamiami Trl, Port Charlotte, FL 33952. The listed phone number is (941) 627-5155.

What is Promenades Surgery Center LLC's specialty?

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

Does Promenades Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0997759) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Promenades Surgery Center LLC was last updated on January 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.