ORANGE PARK ACUTE TRAUMALLC NPI 1427397264

NPI Information

  • NPI: 1427397264
  • Provider Name: ORANGE PARK ACUTE TRAUMA,LLC
  • Classification: Surgery - 2086S0127X
  • Specialization: Trauma Surgery
  • Entity Type: Organization
  • Address: 2140 KINGSLEY AVE
    SUITE 14
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (972) 265-0370

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NPI Details

ORANGE PARK ACUTE TRAUMA,LLC is a trauma surgery surgery in Orange Park, FL. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. ORANGE PARK ACUTE TRAUMA,LLC NPI is 1427397264. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2140 KINGSLEY AVE
SUITE 14
ORANGE PARK, FL
ZIP 32073-180
Phone: (972) 265-0370
Fax: (214) 712-2444

The provider's authorized official is Kathy Kondas .
The authorized official title is Officer and has the following contact phone number (317) 614-9871.

The enumeration date for this NPI number is 2/13/2013 and was last updated on 4/20/2021.

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
1208600000XSurgeryNo
22086S0127XSurgeryTrauma SurgeryYes

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: 11/21/2025

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