COLONIAL OUTPATIENT SURGERY CENTER, LLC
NPI 1760963292
Clinic/Center - Ambulatory Surgical in Fort Myers, FL

Active since August 23, 2018
4571 COLONIAL BLVD, FORT MYERS, FL 33966(239) 333-2050 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Colonial Outpatient Surgery Center, Llc NPPES

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

COLONIAL OUTPATIENT SURGERY CENTER, LLC (NPI 1760963292) is a healthcare organization registered as an ambulatory surgical in Fort Myers, Florida and active in the NPI registry since August 2018. The organization lists Jacky Lucia, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1760963292
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOLONIAL OUTPATIENT SURGERY CENTER, LLC
Location Address4571 COLONIAL BLVDFort Myers, FL 33966-1156
Mailing Address4571 Colonial BlvdFort Myers, FL 33966-1156 · (239) 333-2050
Organization SubpartNo
Authorized OfficialJacky LuciaChief Administrative Officer · (239) 963-7365
Enumeration DateAugust 23, 2018
NPI 1760963292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4571 COLONIAL BLVD, Fort Myers, FL 33966

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 10D2011335

Colonial Outpatient Surgery Center LLC · Fort Myers, FL
Expired · Aug 15, 2026
CLIA Number10D2011335
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 16, 2024
Certificate Expiration DateAugust 15, 2026
Laboratory DirectorPeter Curcione
Laboratory Phone(239) 333-2560
Laboratory LocationColonial Outpatient Surgery Center LLC4571 Colonial Blvd #200, Fort Myers, FL 33966
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 21

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.
22,610 services118 patients
Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg C9088
Instillation of bupivacaine and meloxicam involves administering these medications into your body, usually through an injection. Bupivacaine is a local anesthetic that numbs specific areas, and meloxicam is an anti-inflammatory drug that reduces pain and swelling.
8,600 services23 patients
Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
3,550 services19 patients
Insertion of sacral nerve neurostimulator electrode array 64561
The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.
104 services39 patients
Injection of implant material beneath lining of bladder and/or urethra using an endoscope 51715
This is a procedure where a substance is inserted under the bladder or urethra lining using a special instrument called an endoscope. This helps to support these areas and improve their function. It's done in a safe, controlled medical environment.
74 services69 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
57 services41 patients

Other Providers at the Same Location NPPES 7

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

Surgery
4571 COLONIAL BLVD, SUITE 210
FORT MYERS, FL 33966
Urology
4571 COLONIAL BLVD
FORT MYERS, FL 33966
Physician Assistant
4571 COLONIAL BLVD, SUITE 210
FORT MYERS, FL 33966
Urology
4571 COLONIAL BLVD
FT. MYERS, FL 33966
Urology
4571 COLONIAL BLVD, SUITE 200
FORT MYERS, FL 33966
Otolaryngology
4571 COLONIAL BLVD
FORT MYERS, FL 33966
Clinic/Center (Ambulatory Surgical)
4571 COLONIAL BLVD, SUITE 200
FORT MYERS, FL 33966

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 Colonial Outpatient Surgery Center, LLC's NPI number?

The NPI number for Colonial Outpatient Surgery Center, LLC is 1760963292. It was assigned to this organization in the NPPES registry on August 23, 2018.

Where is Colonial Outpatient Surgery Center, LLC located?

Colonial Outpatient Surgery Center, LLC is located at 4571 Colonial Blvd, Fort Myers, FL 33966. The listed phone number is (239) 333-2050.

What is Colonial Outpatient Surgery Center, LLC's specialty?

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

What insurance does Colonial Outpatient Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Colonial Outpatient 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 Colonial Outpatient Surgery Center, LLC was last updated on August 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.