PONTE VEDRA SURGERY CENTER NPI 1235168469

NPI Information

NPI: 1235168469
Provider Name: PONTE VEDRA SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (904) 285-7546
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PONTE VEDRA SURGERY CENTER is an ambulatory surgical clinic center in Ponte Vedra Beach, FL. PONTE VEDRA SURGERY CENTER NPI is 1235168469. The provider is registered as an organization entity type.

The provider's business location address is:

232 PONTE VEDRA PARK DR
PONTE VEDRA BEACH, FL
ZIP 32082-600
Phone: (904) 285-7546
Fax: (904) 273-8511

The provider's authorized official is David T Harvey .
The authorized official title is Medical Director and has the following contact phone number (904) 285-7546.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	14960502	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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