1. Home
  2. Directory
  3. Florida
  4. Fort Myers
  5. Surgery
  6. NPI Profile

PRIME SURGERY CENTER CORPORATION
NPI 1700778487
Surgery in Fort Myers, FL

Active since July 17, 2025CLIA 10D2300690 · Waiver
63 BARKLEY CIR, FORT MYERS, FL 33907(954) 552-8476 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prime Surgery Center Corporation NPPES

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

PRIME SURGERY CENTER CORPORATION (NPI 1700778487) is a healthcare organization registered as a surgery in Fort Myers, Florida and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Justine O'brien, Manager, as its authorized official.

NPPES Registry Identity

NPI1700778487
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePRIME SURGERY CENTER CORPORATION
Location Address63 BARKLEY CIRFort Myers, FL 33907-4514
Mailing Address201 N Pine Island RdPlantation, FL 33324-1819 · (954) 552-8476
Phone(954) 552-8476
Organization SubpartNo
Authorized OfficialJustine O'brienManager · (954) 552-8476
Enumeration DateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1700778487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
63 BARKLEY CIR, Fort Myers, FL 33907
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 10D2300690

Prime Surgery Center Corporation · Fort Myers, FL
Active · expires Mar 13, 2028
CLIA Number10D2300690
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorFrederick E. Hasty
Laboratory Phone(954) 552-8476
Laboratory LocationPrime Surgery Center Corporation63 Barkley Circle #101, Fort Myers, FL 33919
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

CENTER ANESTHESIA, INC
Nurse Anesthetist, Certified Registered
63 BARKLEY CIR, SUITE 104
FORT MYERS, FL 33907
Lee County (850) 423-9994
DR. MAI F SAIF MD
Radiology (Diagnostic Radiology)
63 BARKLEY CIR, STE. 100 & 101
FORT MYERS, FL 33907
Lee County (239) 938-3500
DR. MICHAEL J WEISS MD
Radiology (Diagnostic Radiology)
63 BARKLEY CIR, STE. 100 & 101
FORT MYERS, FL 33907
Lee County (239) 938-3500
DR. RICHARD J PRY MD
Radiology (Diagnostic Radiology)
63 BARKLEY CIR, STE. 100 & 101
FORT MYERS, FL 33907
Lee County (239) 938-3500
DR. JAMES S WALTERS MD
Radiology (Diagnostic Radiology)
63 BARKLEY CIR, STE. 100 & 101
FORT MYERS, FL 33907
Lee County (239) 938-3500
DR. MICHAEL L CARLINO MD
Radiology (Diagnostic Radiology)
63 BARKLEY CIR, STE. 100 & 101
FORT MYERS, FL 33907
Lee County (239) 938-3500
DR. JEFFREY R SONN DO
Radiology (Diagnostic Radiology)
63 BARKLEY CIR, STE. 100 & 101
FORT MYERS, FL 33907
Lee County (239) 938-3500
DR. JOSEPH E TIENSTRA MD
Radiology (Diagnostic Radiology)
63 BARKLEY CIR, STE. 100 & 101
FORT MYERS, FL 33907
Lee County (239) 938-3500

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 Prime Surgery Center Corporation's NPI number?

The NPI number for Prime Surgery Center Corporation is 1700778487. It was assigned to this organization in the NPPES registry on July 17, 2025.

Where is Prime Surgery Center Corporation located?

Prime Surgery Center Corporation is located at 63 Barkley Cir, Fort Myers, FL 33907. The listed phone number is (954) 552-8476.

What is Prime Surgery Center Corporation's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Prime Surgery Center Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2300690) is associated with this NPI, valid through March 13, 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 Prime Surgery Center Corporation was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.