Active NPI
Surgical Team Services, LLC
- Other Technician
- Fernandina Beach, FL
National Provider Identifier
1003147661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 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 DirectoryNPI 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.