ST. AUGUSTINE AMBULATORY SURGERY CENTER LLC NPI 1598643140

NPI Information

  • NPI: 1598643140
  • Provider Name: ST. AUGUSTINE AMBULATORY SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 45 GROOVER LOOP
    ST AUGUSTINE, FL
    ZIP 32086
  • Phone: (904) 648-8660

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NPI Details

ST. AUGUSTINE AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in St Augustine, FL. ST. AUGUSTINE AMBULATORY SURGERY CENTER, LLC NPI is 1598643140. The provider is registered as an organization entity type.

The provider's business location address is:

45 GROOVER LOOP
ST AUGUSTINE, FL
ZIP 32086-548
Phone: (904) 648-8660

The provider's authorized official is Robert Haen .
The authorized official title is Executive Director and has the following contact phone number (904) 648-8660.

The enumeration date for this NPI number is 8/22/2025 and was last updated on 8/22/2025.

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: 11/21/2025

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