JACKSONVILLE BEACH SURGERY CENTER LLC NPI 1497723720

NPI Information

  • NPI: 1497723720
  • Provider Name: JACKSONVILLE BEACH SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: JACKSONVILLE BEACH SURGERY CENTER
  • Address: 3316 SOUTH THIRD STREET
    STE 200
    JACKSONVILLE BEACH, FL
    ZIP 32250
  • Phone: (904) 247-8181

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NPI Details

JACKSONVILLE BEACH SURGERY CENTER, LLC is an ambulatory surgical clinic center in Jacksonville Beach, FL. JACKSONVILLE BEACH SURGERY CENTER, LLC NPI is 1497723720. The provider is registered as an organization entity type.
The provider Is Doing Business As Jacksonville Beach Surgery Center.

The provider's business location address is:

3316 SOUTH THIRD STREET
STE 200
JACKSONVILLE BEACH, FL
ZIP 32250
Phone: (904) 247-8181
Fax: (904) 247-8101

The provider's authorized official is Jennifer B. Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5954.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Removal of membrane of retina with removal of internal limiting membrane of retina (HCPCS:67042)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Removal of membrane of retina (HCPCS:67041)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Repair of detached retina with drainage and removal of eye fluid between lens and retina (HCPCS:67108)
  • Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin (HCPCS:0275T)
  • Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Destruction of eye fluid (vitreous) between lens and retina using a laser (HCPCS:67039)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Realignment of horizontal eye muscle (HCPCS:67311)
  • Creation of eye fluid drainage tracts in iris using a laser, per session (HCPCS:66761)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Incision to improve eye fluid flow (HCPCS:65820)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Complex repair of detached retina and drainage of eye fluid between lens and retina (HCPCS:67113)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Removal of implanted lens of eye (HCPCS:65920)
  • Fusion of pelvic joint using imaging guidance (HCPCS:27279)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Realignment of vertical eye muscle (HCPCS:67314)
  • Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)
  • Exchange of prosthetic lens (HCPCS:66986)
  • Reshaping of nasal cartilage (HCPCS:30520)

The enumeration date for this NPI number is 3/11/2006 and was last updated on 11/18/2024.

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
1261QA1903XClinic/CenterAmbulatory Surgical1120FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1070933600MEDICAIDFLORIDA

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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