Surgery Center of Ponte Vedra Beach LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER OF PONTE VEDRA BEACH LLC

Practice address

1030 A1A N
Ponte Vedra Beach, FL 32082-4019

Phone

(904) 285-7202

Fax

(904) 285-3931

NPI assigned

Apr 17, 2014

Organization subpart

Yes

Parent organization

SURGERY CENTER HOLDINGS INCAs reported in NPPES

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

Authorized official

Name

Mr. Michael T Doyle

Title

Ceo

Phone

(813) 569-6500

Specialties & licenses 1

Addresses

Other names 1

• Ponte Vedra Beach Surgery Center Doing business as

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1154741189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 A1A N",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824019",
            "telephone_number": "904-285-7202",
            "fax_number": "904-285-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 A1A N",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824019",
            "telephone_number": "904-285-7202",
            "fax_number": "904-285-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF PONTE VEDRA BEACH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SURGERY CENTER HOLDINGS INC",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-569-6500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ponte Vedra Beach Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Ann Stoops
• Alexa Elyse Stubenrauch, M.S. CCC-SLP
• Successful Pathways to Wellness
• Sunny Dentistry PLLC
• Sunrise Orthodontics PLLC
• Surgical Center of Ponte Vedra Beach LLC
• Surgical Center of Ponte Vedra Beach, LLC
• Anna Swan
• Liudmyla Sysa, MD
• Duane F Szczepanski, M.D.

• Ambulatory Surgical Clinic/Center in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.