OrganizationActive
Elite Surgery Center, LLC
NPI 1962960146 · Plastic Surgery Physician · Bradenton, FL
Provider details
- NPI number
- 1962960146
- Entity type
- Organization
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melinda Lacerna Kimbrell, Manager/Member(941) 954-4500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5301 4th Ave Circle E
Bradenton, FL 34208
Phone: (941) 954-4500
Approximate (ZIP-level) locationGet directions
Mailing address
5301 4th Ave Circle E
Bradenton, FL 34208
Registry dates
- Enumerated
- 2019-03-07
- Last updated
- 2019-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.