ORTHOPAEDIC SURGERY CENTER OF CLEARWATER LLC NPI 1982788071

NPI Information

NPI: 1982788071
Provider Name: ORTHOPAEDIC SURGERY CENTER OF CLEARWATER LLC

Other Name: ORTHOPAEDIC SURGERY CENTER OF CLEARWATER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
402 JEFFORDS STREET
CLEARWATER, FL
ZIP 33756
Phone: (727) 448-0822
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ORTHOPAEDIC SURGERY CENTER OF CLEARWATER LLC is an ambulatory surgical clinic center in Clearwater, FL. ORTHOPAEDIC SURGERY CENTER OF CLEARWATER LLC NPI is 1982788071. The provider is registered as an organization entity type.
The provider Other Name Is Orthopaedic Surgery Center Of Clearwater.

The provider's business location address is:

402 JEFFORDS STREET
CLEARWATER, FL
ZIP 33756
Phone: (727) 448-0822
Fax: (727) 447-7044

The provider's authorized official is Daniel Smith .
The authorized official title is Director Of Nursing and has the following contact phone number (727) 448-0822.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 4/30/2012.

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	1122	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7544268	OTHER	FLORIDA	AETNA PPO
2	F1351	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	MEDICARE #
3	490005251	OTHER	FLORIDA	RAILROAD MEDICARE
4	=========	OTHER	GEORGIA	TAX ID#
5	2602599	OTHER	FLORIDA	AETNA HMO
6	69H	OTHER	FLORIDA	BCBS
7	075143000	MEDICAID	FLORIDA
8	1122	OTHER	FLORIDA	STATE LIC.

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: 5/5/2024

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