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
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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 | |||||||||||||||||||||||||||
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Profit Status: | For-Profit | |||||||||||||||||||||||||||
Management Company: | NATIONAL SURGERY CENTER HOLDINGS, INC. | |||||||||||||||||||||||||||
Manager Since: | 12/9/2020 | |||||||||||||||||||||||||||
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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
Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
---|---|---|---|---|---|
Change of ownership occurred 12/9/2020 | |||||
12/20/2019 | 2019019872 | Fine | Reporting | $1,500.00 | 2/19/2020 |
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.