Organization Active NPI

Specialty Surgery Center of Florida, LLC

Doing business as Alliance Specialty Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Ormond Beach, FL
National Provider Identifier
1053851162
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SPECIALTY SURGERY CENTER OF FLORIDA, LLC
Doing business as
Alliance Specialty Surgical Center
Practice address
1545 Hand Ave
Building a
Ormond Beach, FL 32174-1139
Phone
(386) 274-2977
Fax
(386) 274-2997
NPI assigned
Mar 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Vinod Malik, MDNPI 1972553253
Title
Director
Phone
(386) 274-2977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1545 Hand Ave
Building a
Ormond Beach, FL 32174-1139

Mailing address

1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590
Phone (386) 274-2977

Other names 1

  • Alliance Specialty Surgical Center Doing business as

National Provider Directory

National Provider Directory

Locations

1545 Hand Ave
Bldg A
Ormond Beach, FL 32174
Phone (386) 274-2977

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1053851162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 N CLYDE MORRIS BLVD STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175590",
            "telephone_number": "386-274-2977",
            "fax_number": "386-274-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 HAND AVE",
            "address_2": "BUILDING A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741139",
            "telephone_number": "386-274-2977",
            "fax_number": "386-274-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY SURGERY CENTER OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "VINOD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "386-274-2977",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Specialty Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alliance Specialty Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.