Provider Profile

ST MARKS SURGICAL CENTER

Ambulatory Surgical Center

FACILITY PROFILE

Accredited by: Accreditation Association for Ambulatory Health Care
Street Address
  • 6820 INTERNATIONAL CENTER BLVD
    FORT MYERS, FL 33912
    County: Lee
  • Phone: (239) 210-0301
Mailing Address
  • 6820 INTERNATIONAL CENTER BLVD
    FORT MYERS, FL 33912
    County: Lee
  • Phone: (239) 210-0301
AHCA Reports
Inspection Reports
Inspection Details
Consumer Guides
A Patient's Guide to a Hospital Stay
Patient Safety
Health Care Advance Directives
Facility Information:
Facility/Provider Type:Ambulatory Surgical Center
Administrator:ROSHELLIE RIVERA-REYES
Financial Officer:MICHAEL COLLINS
Owner/Licensee:ST MARK'S SURGICAL CENTER LLC
Owner/Licensee Since:6/5/2007

NamePositionOwnership
MICHAEL COLLINSBOARD MEMBER/OFFICER39%
STEPHAN LAQUISBOARD MEMBER/OFFICER32%
STEPHEN SMITHBOARD MEMBER/OFFICER11%
ALEXANDRA M KONOWALBOARD MEMBER/OFFICER7%
JASON CLARK FRIEDRICHSBOARD MEMBER/OFFICER4%
VINOD DHARAMMRAJ BHAVNANIBOARD MEMBER/OFFICER3%
ALBERT SMOLYARBOARD MEMBER/OFFICER0%
F ENRIQUE PALMONBOARD MEMBER/OFFICER0%
PARNA GANESH SHENOYBOARD MEMBER/OFFICER0%
Profit Status:For-Profit
Management Company:Not Available
Manager Since:Not Available
Licensed Beds:Not Available
Bed Types:Operating Rooms: 4
Recovery Beds: 7
AHCA Number (File Number):14960621
AHCA Field Office:08
License Number:1279
Current License Effective:9/3/2023
Current License Expires:9/2/2025
License Status:LICENSED
Services/Characteristics

Not Available

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.