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ELITE SURGERY CENTER, LLC
NPI 1962960146
Plastic Surgery in Bradenton, FL

Active since March 07, 2019CLIA 10D2074352 · Waiver
5301 4TH AVE CIRCLE E, BRADENTON, FL 34208(941) 954-4500 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elite Surgery Center, Llc NPPES

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

ELITE SURGERY CENTER, LLC (NPI 1962960146) is a healthcare organization registered as a plastic surgery in Bradenton, Florida and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Melinda L Lacerna Kimbrell, Manager/member, as its authorized official.

NPPES Registry Identity

NPI1962960146
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameELITE SURGERY CENTER, LLC
Location Address5301 4TH AVE CIRCLE EBradenton, FL 34208
Mailing Address5301 4th Ave Circle EBradenton, FL 34208 · (941) 954-4500
Phone(941) 954-4500
Organization SubpartNo
Authorized OfficialMelinda L Lacerna KimbrellManager/member · (941) 954-4500
Enumeration DateMarch 7, 2019
✔ NPI 1962960146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
5301 4TH AVE CIRCLE E, Bradenton, FL 34208
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 10D2074352

Elite Surgery Center · Bradenton, FL
Active · expires Oct 5, 2026
CLIA Number10D2074352
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorMelinda L. Lacerna
Laboratory Phone(941) 954-4500
Laboratory LocationElite Surgery Center5301 4th Ave Cir East, Bradenton, FL 34208
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Elite Surgery Center, LLC's NPI number?

The NPI number for Elite Surgery Center, LLC is 1962960146. It was assigned to this organization in the NPPES registry on March 7, 2019.

Where is Elite Surgery Center, LLC located?

Elite Surgery Center, LLC is located at 5301 4th Ave Circle E, Bradenton, FL 34208. The listed phone number is (941) 954-4500.

What is Elite Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Elite Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2074352) is associated with this NPI, valid through October 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elite Surgery Center, LLC was last updated on March 7, 2019. 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.