SURGERY CENTER OF STUART
NPI 1609940899
Clinic/Center - Ambulatory Surgical in Stuart, FL

Active since November 20, 2006
2096 SE OCEAN BLVD, STUART, FL 34996(772) 223-0174(772) 223-0558 Get Directions Write a Review

NPPES record last updated: February 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surgery Center Of Stuart NPPES

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

SURGERY CENTER OF STUART (NPI 1609940899) is a healthcare organization registered as an ambulatory surgical in Stuart, Florida and active in the NPI registry since November 2006. The organization lists Barbara Ann Tidwell, Administrator, as its authorized official.

NPPES Registry Identity

NPI1609940899
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business Name2096 EAST OCEAN BOULEVARD, LC
Location Address2096 SE OCEAN BLVDStuart, FL 34996-3304
Mailing Address2096 Se Ocean BlvdStuart, FL 34996-3304 · (772) 223-0174 · Fax (772) 223-0558
Fax(772) 223-0558
Organization SubpartNo
Authorized OfficialBarbara Ann TidwellAdministrator · (772) 223-0174
Enumeration DateNovember 20, 2006
Last NPPES UpdateFebruary 2, 2012
NPI 1609940899 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 · 901
2096 SE OCEAN BLVD, Stuart, FL 34996

Other Names 1

Doing Business AsSurgery Center Of Stuart

Other Identifiers 5

Medicare UPINF1046FL
Other490004057FL · Railroad Medicare
Other61DFL · Bcbs
Other0097410006FL · Cigna
Medicaid079144000FL

Other Providers at the Same Location NPPES

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

Clinic/Center (Ambulatory Surgical)
2096 SE OCEAN BLVD
STUART, FL 34996

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 2096 East Ocean Boulevard, Lc's NPI number?

The NPI number for 2096 East Ocean Boulevard, Lc is 1609940899. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is doing business as Surgery Center Of Stuart.

Where is 2096 East Ocean Boulevard, Lc located?

2096 East Ocean Boulevard, Lc is located at 2096 SE Ocean Blvd, Stuart, FL 34996. The listed phone number is (772) 223-0174.

What is 2096 East Ocean Boulevard, Lc's specialty?

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

When was this NPI record last updated?

The NPPES record for 2096 East Ocean Boulevard, Lc was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.