Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Adult and Childrens Surgery Center LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1861052896

Premier Adult and Childrens Surgery Center LLC is an Ambulatory Surgical Clinic/Center in Fort Myers, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5238 Mason Corbin Ct Ste 101
Fort Myers, FL 33907-7738
Phone: (239) 936-9700
Fax: (239) 936-9707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1861052896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenetha Moran — Officer/Authorized Official · (972) 763-3893
NPI enumeratedJune 20, 2019
Last updated in NPPESJune 20, 2019
Mailing address5238 Mason Corbin Ct Ste 101, Fort Myers, FL 33907-7738

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