Provider Profile

SURGCENTER OF ST LUCIE

Ambulatory Surgical Center

FACILITY PROFILE

Accredited by: Joint Commission
Street Address
  • 10521 SW VILLAGE CENTER DR, STE 104
    PORT SAINT LUCIE, FL 34987
    County: St. Lucie
  • Phone: (772) 345-8600
Mailing Address
  • 10521 SW VILLAGE CENTER DR, STE 104
    PORT SAINT LUCIE, FL 34987
    County: St. Lucie
  • Phone: (772) 345-8600
AHCA Reports
Inspection Reports
Inspection Details
Consumer Guides
A Patient's Guide to a Hospital Stay
Patient Safety
Health Care Advance Directives
Facility Information:
Facility/Provider Type:Ambulatory Surgical Center
Administrator:LAURA HOFMA BUTRICK
Financial Officer:BEN TARBLE
Owner/Licensee:SURGCENTER OF ST LUCIE, LLC
Owner/Licensee Since:9/1/2016

NamePositionOwnership
NATIONAL SURGERY CENTER HOLDINGS, INC.60%
ANUJ PRASHER7%
ARON TROCCHIA7%
CHECK KAM7%
MISSION STREET HOLDINGS LLC7%
AJC ORTHOPAEDIC SOLUTIONS LLC5%
FUTURE ALIGNMENT, LLC5%
COLLIN LEMAISTREBOARD MEMBER/OFFICER0%
Profit Status:For-Profit
Management Company:NATIONAL SURGERY CENTER HOLDINGS, INC.
Manager Since:12/9/2020

NamePositionOwnership
JAMES BOWDENBOARD MEMBER/OFFICER0%
Licensed Beds:Not Available
Bed Types:Operating Rooms: 2
Recovery Beds: 6
AHCA Number (File Number):14960879
AHCA Field Office:09
License Number:1393
Current License Effective:12/9/2024
Current License Expires:12/8/2026
License Status:LICENSED
Services/Characteristics

Not Available

Legal Actions
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.
Date Initiated Case # Case Type Violation Fine Amount Date Imposed
Change of ownership occurred 12/9/2020
12/20/20192019019872FineReporting$1,500.002/19/2020

Important information and facility/provider definitions can be found in the Glossary.

Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.