Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

2096 East Ocean Boulevard, Lc

Ambulatory Surgical Clinic/Center in Stuart, FL · enumerated 2006 · authorized official Barbara Tidwell, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609940899

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Registry record

Entity type Organization (Type 2)

Legal business name 2096 East Ocean Boulevard, Lc

Other name <Unavail>

Practice address 2096 Se Ocean Blvd, Stuart, FL, 34996

Phone (772) 223-0174

Fax (772) 223-0558

Enumeration date Nov 20, 2006

Last updated in NPPES Feb 2, 2012

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 901 (FL) Primary

Authorized official

Name Barbara Tidwell

Title Administrator

Phone (772) 223-0174

Other identifiers

Identifier	Type	State	Issuer
0097410006	Other	FL	CIGNA
079144000	Medicaid	FL	-
490004057	Other	FL	RAILROAD MEDICARE
61D	Other	FL	BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-02-02. Verify at npiregistry.cms.hhs.gov.

Where is 2096 East Ocean Boulevard, Lc located?

The practice location on file with NPPES is in Stuart, FL.

Providers at this address

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Stuart Surgery Center, LLC Ambulatory Surgical Clinic/Center · Stuart, FL NPI 1174030878

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-02-02.