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FORT MYERS CHILDREN'S SURGERY CENTER, LLC
NPI 1366549511
Clinic/Center - Ambulatory Surgical in Ft Myers, FL

Active since September 20, 2006CLIA 10D0711943 · Waiver
3700 CENTRAL AVE, # 2, FT MYERS, FL 33901(239) 275-0665(239) 275-0503 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2023, May 15, 2023 (2 updates tracked since 2023).

About Fort Myers Children's Surgery Center, Llc NPPES

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

FORT MYERS CHILDREN'S SURGERY CENTER, LLC (NPI 1366549511), doing business as Southwest Florida Institute Of Ambulatory Surgery Inc, is a healthcare organization registered as an ambulatory surgical in Ft Myers, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Devin Larsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366549511
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFORT MYERS CHILDREN'S SURGERY CENTER, LLC
Location Address3700 CENTRAL AVE, # 2Ft Myers, FL 33901
Mailing Address9709 Lakeside Blvd Ste 350Spring, TX 77381-1213 · (713) 489-2198 · Fax (713) 489-2978
Phone(239) 275-0665
Fax(239) 275-0503
Organization SubpartNo
Authorized OfficialDevin LarsenCeo · (208) 340-1840
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJanuary 27, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1366549511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3700 CENTRAL AVE, Ft Myers, FL 33901
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Other Names 1

Doing Business AsSouthwest Florida Institute Of Ambulatory Surgery Inc

Other Identifiers 1

Other490000379FL · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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 10D0711943

Fort Myers Children's Surgery Center, LLC · Fort Myers, FL
Active · expires Aug 31, 2026
CLIA Number10D0711943
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJamie Heater
Laboratory Phone(717) 759-4375
Laboratory LocationFort Myers Children's Surgery Center, LLC3700 Central Avenue Suite 2, Fort Myers, FL 33901
CLIA data matches this NPI record on: Name
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.

DORIBETH RUIZ DMD
Dentist (Pediatric Dentistry)
3700 CENTRAL AVE
FORT MYERS, FL 33901
Lee County (239) 387-1587
MICHAEL KWANGSOO KIM M.D.
Surgery (Plastic and Reconstructive Surgery)
3700 CENTRAL AVE, STE 1
FORT MYERS, FL 33901
Lee County (239) 939-5233
DR. JAMES MICHAEL D'AMICO D.D.S., M.S.
Oral & Maxillofacial Surgery
3700 CENTRAL AVE
FORT MYERS, FL 33901
Lee County (239) 939-5233
LINDA M. ROSS PEDERSEN, PA
Nurse Anesthetist, Certified Registered
3700 CENTRAL AVE, SUITE 2
FORT MYERS, FL 33901
Lee County (239) 275-0665
JS ANESTHESIA INC
Nurse Anesthetist, Certified Registered
3700 CENTRAL AVE
FORT MYERS, FL 33901
Lee County (239) 275-0665
ROBERT JOHN BRUECK M.D.
Surgery (Plastic and Reconstructive Surgery)
3700 CENTRAL AVE, STE 1
FORT MYERS, FL 33901
Lee County (239) 939-5233
BRUECK, GOLOSOW, KIM & ASSOCIATES
Surgery (Plastic and Reconstructive Surgery)
3700 CENTRAL AVE, STE 1
FORT MYERS, FL 33901
Lee County (239) 939-5233
JENNIFER SASSI PA
Nurse Anesthetist, Certified Registered
3700 CENTRAL AVE
FORT MYERS, FL 33901
Lee County (239) 939-5233

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 Fort Myers Children's Surgery Center, LLC's NPI number?

The NPI number for Fort Myers Children's Surgery Center, LLC is 1366549511. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Southwest Florida Institute of Ambulatory Surgery Inc.

Where is Fort Myers Children's Surgery Center, LLC located?

Fort Myers Children's Surgery Center, LLC is located at 3700 Central Ave # 2, Ft Myers, FL 33901. The listed phone number is (239) 275-0665.

What is Fort Myers Children's Surgery Center, LLC's specialty?

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

Does Fort Myers Children's Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0711943) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fort Myers Children's Surgery Center, LLC accept?

Health plans from Molina Healthcare list Fort Myers Children's 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 Fort Myers Children's Surgery Center, LLC was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.