Provider Demographics
NPI:1114012309
Name:CAPE SURGERY CENTER LP
Entity Type:Organization
Organization Name:CAPE SURGERY CENTER LP
Other - Org Name:CAPE SURGERY CENTER LP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:EMMANUELLE
Authorized Official - Last Name:BRUNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-917-1900
Mailing Address - Street 1:1941 WALDEMERE ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2922
Mailing Address - Country:US
Mailing Address - Phone:941-917-1900
Mailing Address - Fax:941-917-2356
Practice Address - Street 1:1941 WALDEMERE ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2922
Practice Address - Country:US
Practice Address - Phone:941-917-1900
Practice Address - Fax:941-917-2356
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-04
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL792261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0783363OtherCIGNA
FL490000335OtherRAILROAD MEDICARE
FL079070200Medicaid
FL621OtherBLUE CROSS OF FLORIDA
FL625646OtherAETNA
FL0783363OtherCIGNA