HOLIDAY SURGERY CENTER LIMITED PARTNERSHIP L L P NPI 1558372029

NPI Information

NPI: 1558372029
Provider Name: HOLIDAY SURGERY CENTER LIMITED PARTNERSHIP L L P
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 10D0895276

Address:
1109 US HIGHWAY 19
HOLIDAY, FL
ZIP 34691
Phone: (727) 934-5705
Get Directions

HOLIDAY SURGERY CENTER LIMITED PARTNERSHIP L L P is an ambulatory surgical clinic center in Holiday, FL. HOLIDAY SURGERY CENTER LIMITED PARTNERSHIP L L P NPI is 1558372029. The provider is registered as an organization entity type.

The provider's business location address is:

1109 US HIGHWAY 19
HOLIDAY, FL
ZIP 34691-638
Phone: (727) 934-5705
Fax: (727) 937-3756

The provider's authorized official is Sean Wall .
The authorized official title is Cfo and has the following contact phone number (727) 934-5705.

The CLIA number assigned to this NPI record is 10D0895276 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 3/23/2012.

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	802	FLORIDA	Yes

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
1	079128800	MEDICAID	FLORIDA
2	F1084	MEDICARE PIN	FLORIDA

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: 4/28/2024

NPI Synchronization or Removal

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