Provider Profile
COUNTRYSIDE SURGERY CENTER
Ambulatory Surgical Center
FACILITY PROFILE
Accredited by: Accreditation Association for Ambulatory Health Care
Street Address
- 3291 N MCMULLEN BOOTH RD
CLEARWATER, FL 33761
County: Pinellas - Phone: (727) 725-5800
Mailing Address
- 3291 N MCMULLEN BOOTH RD
CLEARWATER, FL 33761
County: Pinellas - Phone: (727) 725-5800
AHCA Reports
Inspection ReportsInspection Details
Consumer Guides
A Patient's Guide to a Hospital StayPatient Safety
Health Care Advance Directives
Compare Quality and/or Pricing
Facility Information:
| Facility/Provider Type: | Ambulatory Surgical Center | |||||||||
| Administrator: | CATHY BUCKLEY | |||||||||
| Financial Officer: | DARLENE STILLE | |||||||||
| Owner/Licensee: | COUNTRYSIDE SURGERY CENTER, LTD., A FLORIDA LIMITED PARTNERSHIP | |||||||||
| Owner/Licensee Since: | 1/17/2008 | |||||||||
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| Profit Status: | For-Profit | |||||||||
| Management Company: | Not Available | |||||||||
| Manager Since: | Not Available | |||||||||
| Licensed Beds: | Not Available | |||||||||
| Bed Types: | Operating Rooms: 4 Recovery Beds: 8 | |||||||||
| AHCA Number (File Number): | 138 | |||||||||
| AHCA Field Office: | 05 | |||||||||
| License Number: | 986 | |||||||||
| Current License Effective: | 5/4/2024 | |||||||||
| Current License Expires: | 5/3/2026 | |||||||||
| License Status: | LICENSED | |||||||||
Services/Characteristics
Not Available
Legal Actions
| Date Initiated | Case # | Case Type | Violation | Fine Amount | Date Imposed |
|---|---|---|---|---|---|
| 5/20/2019 | 2019008449 | Fine | Survey | $3,000.00 | 2/27/2020 |
| 2/11/2008 | 2008001799 | Fine | Application | $500.00 | 2/12/2008 |
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.