CCN: 100332 NPI: 1164719209 Organization

BLUE WATER SURGERY CENTER

6830 S US HIGHWAY 1
PORT ST LUCIE, FL 349521410

Contact Information

Phone 7728736700
Fax 7724655499
Enumeration Date 2011-07-08
Last Updated 2023-06-16

Taxonomies

Code: 261QA1903X (Primary) License State: FL License: 1570

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 38940

providerType 00

operatingCostToChargeRatio 0.158

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 38940

providerType 00

operatingCostToChargeRatio 0.123

specialPaymentIndicator 1

carrierCode 09102

localityCode 03