ADVANCED SURGERY CENTER LLC NPI 1891161154

NPI Information

NPI: 1891161154
Provider Name: ADVANCED SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 10D2136308

Address:
6100 N DAVIS HWY
PENSACOLA, FL
ZIP 32504
Phone: (850) 471-2377
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ADVANCED SURGERY CENTER LLC is an ambulatory surgical clinic center in Pensacola, FL. ADVANCED SURGERY CENTER LLC NPI is 1891161154. The provider is registered as an organization entity type.

The provider's business location address is:

6100 N DAVIS HWY
PENSACOLA, FL
ZIP 32504-950
Phone: (850) 471-2377
Fax: (850) 471-9975

The provider's authorized official is Jack P Kotlarz .
The authorized official title is Authorized Official/owner and has the following contact phone number (850) 471-2377.

The CLIA number assigned to this NPI record is 10D2136308 - physician office with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 8/20/2015 and was last updated on 8/20/2015.

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		FLORIDA	Yes

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

NPI Synchronization or Removal

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