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NATURE COAST SURGICAL ASSOCIATES PA NPI 1619058336


NPI Information

NPI: 1619058336
Provider Name: NATURE COAST SURGICAL ASSOCIATES, PA
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
11343 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613
Phone: (352) 596-5919
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NATURE COAST SURGICAL ASSOCIATES, PA is a surgery in Brooksville, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NATURE COAST SURGICAL ASSOCIATES, PA NPI is 1619058336. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11343 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613-404
Phone: (352) 596-5919
Fax: (352) 596-5918

The provider's authorized official is John Anthony Manubay .
The authorized official title is President and has the following contact phone number (352) 596-5919.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 6/6/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryME 75741FLORIDANo
2208600000XSurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
159020000449310OTHERFLORIDABC BS NATL ACCT
2K8042MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
3255398800MEDICAIDFLORIDA
4241641OTHERFLORIDAAVMED
5217051OTHERFLORIDAWELLCARE
644931OTHERFLORIDABLUE CROSS BLUE SHIELD FL
700889OTHERFLORIDAUNIVERSAL
8=========OTHERFLORIDATRICARE
9========= 0004OTHERFLORIDACIGNA
103668439OTHERFLORIDAAETNA
11G58147MEDICARE UPINFLORIDA

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

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