Organization Active NPI

Surgical Team Services, LLC

  • Other Technician
  • Fernandina Beach, FL
National Provider Identifier
1003147661
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Legal business name
SURGICAL TEAM SERVICES, LLC
Practice address
1250 S 18TH St
Fernandina Beach, FL 32034-1902
Phone
(904) 421-2119
NPI assigned
Jan 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Luis Melendez, CFA
Title
Owner
Phone
(904) 421-2119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 247200000X Primary

Addresses

Primary practice location

1250 S 18TH St
Fernandina Beach, FL 32034-1902

Mailing address

1401 Riverplace Blvd
#601
Jacksonville, FL 32207-9069

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1003147661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 RIVERPLACE BLVD",
            "address_2": "#601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S 18TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341902",
            "telephone_number": "904-421-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL TEAM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-421-2119",
        "authorized_official_credential": "CFA"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.