BAPTIST BEACHES SURGERY CENTER LLC NPI 1336852854

NPI Information

NPI: 1336852854
Provider Name: BAPTIST BEACHES SURGERY CENTER LLC

Doing Business As: HORIZON SURGERY CENTER BEACHES

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

Specialization: Ambulatory Surgical

Address:
1577 ROBERTS DR STE 120
JACKSONVILLE BEACH, FL
ZIP 32250
Phone: (904) 709-4510
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BAPTIST BEACHES SURGERY CENTER LLC is an ambulatory surgical clinic center in Jacksonville Beach, FL. BAPTIST BEACHES SURGERY CENTER LLC NPI is 1336852854. The provider is registered as an organization entity type.
The provider Is Doing Business As Horizon Surgery Center Beaches.

The provider's business location address is:

1577 ROBERTS DR STE 120
JACKSONVILLE BEACH, FL
ZIP 32250-264
Phone: (904) 709-4510
Fax: (904) 709-4509

The provider's authorized official is Robert Colon .
The authorized official title is Asc Administrator and has the following contact phone number (787) 630-7372.

The enumeration date for this NPI number is 12/29/2022 and was last updated on 1/5/2024.

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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