SURGICAL CENTER OF PONTE VEDRA BEACH LLC NPI 1609269232

NPI Information

NPI: 1609269232
Provider Name: SURGICAL CENTER OF PONTE VEDRA BEACH LLC

Doing Business As: PONTE VEDRA BEACH SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1030 A1A N
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (907) 285-1199
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SURGICAL CENTER OF PONTE VEDRA BEACH LLC is an ambulatory surgical clinic center in Ponte Vedra Beach, FL. SURGICAL CENTER OF PONTE VEDRA BEACH LLC NPI is 1609269232. The provider is registered as an organization entity type.
The provider Is Doing Business As Ponte Vedra Beach Surgery Center.

The provider's business location address is:

1030 A1A N
PONTE VEDRA BEACH, FL
ZIP 32082-019
Phone: (907) 285-1199
Fax: (907) 285-1197

The provider's authorized official is Krystyn Collier .
The authorized official title is Manager and has the following contact phone number (904) 285-1199.

The enumeration date for this NPI number is 3/6/2015 and was last updated on 7/29/2019.

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	1215	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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