Provider Demographics
NPI:1841979564
Name:SURGCENTER OF MARTIN COUNTY, LLC
Entity type:Organization
Organization Name:SURGCENTER OF MARTIN COUNTY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANUJ
Authorized Official - Middle Name:
Authorized Official - Last Name:PRASHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-247-2005
Mailing Address - Street 1:6151 SE FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-8106
Mailing Address - Country:US
Mailing Address - Phone:772-247-2005
Mailing Address - Fax:772-872-5907
Practice Address - Street 1:6151 SE FEDERAL HIGHWAY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997
Practice Address - Country:US
Practice Address - Phone:772-216-4157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-12
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Multi-Specialty