Southwest Florida Institute of Ambulatory Surgery Inc – Clinic/Center, NPI 1366549511

Southwest Florida Institute of Ambulatory Surgery Inc is a healthcare provider. based in Spring, Texas. specializing in Clinic/Center. The organization holds a License No. 784 (FL). The NPI Number for Southwest Florida Institute of Ambulatory Surgery Inc is 1366549511

Main info

Organization
Name
Southwest Florida Institute of Ambulatory Surgery Inc
NPI
1366549511
Phone
(713) 489-2198
Address
9709 LAKESIDE BLVD STE 350
Authorized Official
DEVIN LARSEN CEO
Enumeration Date
20 September 2006
Last Update Date
27 January 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Southwest Florida Institute of Ambulatory Surgery Inc

  • 9709 LAKESIDE BLVD STE 350

    SPRING, TX 773811213

    Phone: (713) 489-2198

    Fax: (713) 489-2978

    Type: Mailing

  • 3700, Central Avenue, Fort Myers, Lee County, Florida, 33901, United States

    # 2

    FT MYERS, FL 33901

    Phone: (239) 275-0665

    Fax: (239) 275-0503

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20120706000535OAmbulatory Surgical CenterFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
14040Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less2422$0
14000Repair of wound of trunk by transferring skin, 10.0 sq cm or less1311$0
View full utilization report →

Insurance plans in this area (ZIP 77381)

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Reviews

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Frequently asked questions

What identifier follows Southwest Florida Institute of Ambulatory Surgery Inc across health systems?
The NPI 1366549511 uniquely identifies Southwest Florida Institute of Ambulatory Surgery Inc in U.S. healthcare data.
Should I treat Southwest Florida Institute of Ambulatory Surgery Inc as an active provider?
Patients and plans typically see Southwest Florida Institute of Ambulatory Surgery Inc as active in the national extract.
What type of care does Southwest Florida Institute of Ambulatory Surgery Inc provide?
Southwest Florida Institute of Ambulatory Surgery Inc's profile centers on Clinic/Center. Clinical services aligned with this taxonomy classification.
Which community is linked to Southwest Florida Institute of Ambulatory Surgery Inc?
Southwest Florida Institute of Ambulatory Surgery Inc shows a connection to Spring, Texas in registry-derived data.
Who maintains Southwest Florida Institute of Ambulatory Surgery Inc's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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