SURGERY CENTER OF PONTE VEDRA BEACH LLC NPI 1154741189

NPI Information

  • NPI: 1154741189
  • Provider Name: SURGERY CENTER OF PONTE VEDRA BEACH LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: PONTE VEDRA BEACH SURGERY CENTER
  • Address: 1030 A1A N
    PONTE VEDRA BEACH, FL
    ZIP 32082
  • Phone: (904) 285-7202

Map and Directions

Get Directions

NPI Details

SURGERY CENTER OF PONTE VEDRA BEACH LLC is an ambulatory surgical clinic center in Ponte Vedra Beach, FL. SURGERY CENTER OF PONTE VEDRA BEACH LLC NPI is 1154741189. 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: (904) 285-7202
Fax: (904) 285-3931

The provider's authorized official is Michael T Doyle .
The authorized official title is Ceo and has the following contact phone number (813) 569-6500.

The enumeration date for this NPI number is 4/17/2014 and was last updated on 4/17/2014.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.