ATLANTIC SURGERY CENTER OF JACKSONVILLE BEACH NPI 1336208081

NPI Information

NPI: 1336208081
Provider Name: ATLANTIC SURGERY CENTER OF JACKSONVILLE BEACH
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 10D1008025

Address:
1361 13TH AVE S
STE 130
JACKSONVILLE, FL
ZIP 32250
Phone: (904) 249-2580
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ATLANTIC SURGERY CENTER OF JACKSONVILLE BEACH is an ambulatory surgical clinic center in Jacksonville, FL. ATLANTIC SURGERY CENTER OF JACKSONVILLE BEACH NPI is 1336208081. The provider is registered as an organization entity type.

The provider's business location address is:

1361 13TH AVE S
STE 130
JACKSONVILLE, FL
ZIP 32250-233
Phone: (904) 249-2580
Fax: (904) 249-1380

The provider's authorized official is Scott Jeffery Trimas .
The authorized official title is Medical Director and has the following contact phone number (904) 249-2580.

The CLIA number assigned to this NPI record is 10D1008025 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 7/1/2008.

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			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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