ST. LUCIE SURGICAL CENTER, P.A.
NPI 1790761393
Clinic/Center - Ambulatory Surgical in Fort Pierce, FL

Active since December 16, 2005
1300 N LAWNWOOD CIR, FORT PIERCE, FL 34950(772) 429-5201(772) 429-5204 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Lucie Surgical Center, P.a. NPPES

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

ST. LUCIE SURGICAL CENTER, P.A. (NPI 1790761393) is a healthcare organization registered as an ambulatory surgical in Fort Pierce, Florida and active in the NPI registry since December 2005. The organization lists Anjanaya Prasad Korlipara, President, as its authorized official.

NPPES Registry Identity

NPI1790761393
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameST. LUCIE SURGICAL CENTER, P.A.
Location Address1300 N LAWNWOOD CIRFort Pierce, FL 34950-4884
Mailing Address1300 N Lawnwood CirFort Pierce, FL 34950-4884 · (772) 429-5201 · Fax (772) 429-5204
Fax(772) 429-5204
Organization SubpartNo
Authorized OfficialAnjanaya Prasad KorliparaPresident · (772) 429-5201
Enumeration DateDecember 16, 2005
Last NPPES UpdateFebruary 20, 2012
NPI 1790761393 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 · 1107
1300 N LAWNWOOD CIR, Fort Pierce, FL 34950

Other Identifiers 2

Medicare ID-Type UnspecifiedF1337FL · Prov #
Medicaid070735000FL

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
1300 N LAWNWOOD CIR
FORT PIERCE, FL 34950
Internal Medicine (Interventional Cardiology)
1300 N LAWNWOOD CIR
FORT PIERCE, FL 34950
Internal Medicine (Interventional Cardiology)
1300 N LAWNWOOD CIR
FORT PIERCE, FL 34950

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 St. Lucie Surgical Center, P.A.'s NPI number?

The NPI number for St. Lucie Surgical Center, P.A. is 1790761393. It was assigned to this organization in the NPPES registry on December 16, 2005.

Where is St. Lucie Surgical Center, P.A. located?

St. Lucie Surgical Center, P.A. is located at 1300 N Lawnwood Cir, Fort Pierce, FL 34950. The listed phone number is (772) 429-5201.

What is St. Lucie Surgical Center, P.A.'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 St. Lucie Surgical Center, P.A. was last updated on February 20, 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.