FIRST COAST ORTHOPEDIC CENTER LLC NPI 1811546575

NPI Details

FIRST COAST ORTHOPEDIC CENTER, LLC is an ambulatory surgical clinic center in Jacksonville, FL. FIRST COAST ORTHOPEDIC CENTER, LLC NPI is 1811546575. The provider is registered as an organization entity type.
The provider Is Doing Business As First Coast Surgery Center.

The provider's business location address is:

4035 SOUTHPOINT BOULEVARD
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 507-6077

The provider's authorized official is Kashondra Smith .
The authorized official title is Chief Administrative Officer and has the following contact phone number (904) 507-6047.

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.

• Incision of tendon covering of finger (HCPCS:26055)
• Fusion of pelvic joint using imaging guidance (HCPCS:27279)
• Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
• Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
• Correction of toe joint deformity (HCPCS:28285)
• Release and/or relocation of hand nerve (HCPCS:64721)
• Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
• Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
• Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc (HCPCS:63030)

The enumeration date for this NPI number is 9/5/2019 and was last updated on 4/27/2021.

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: