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PALM COAST SURGERY CENTER LLC NPI 1831369610


NPI Information

NPI: 1831369610
Provider Name: PALM COAST SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
21 HOSPITAL DRIVE
SUITE 220
PALM COAST, FL
ZIP 32164
Phone: (386) 447-4408
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PALM COAST SURGERY CENTER LLC is an ambulatory surgical clinic center in Palm Coast, FL. PALM COAST SURGERY CENTER LLC NPI is 1831369610. The provider is registered as an organization entity type.

The provider's business location address is:

21 HOSPITAL DRIVE
SUITE 220
PALM COAST, FL
ZIP 32164-380
Phone: (386) 447-4408

The provider's authorized official is John M. Russell .
The authorized official title is President and has the following contact phone number (386) 447-4440.

The enumeration date for this NPI number is 3/7/2008 and was last updated on 6/9/2008.


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
1261QA1903XClinic/CenterAmbulatory SurgicalPENDINGFLORIDAYes

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: 11/14/2023

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