The Surgical Center for Excellence, LLLP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1222 Issued in FL

Legal business name

THE SURGICAL CENTER FOR EXCELLENCE, LLLP

Practice address

202 Doctors Dr
Panama City, FL 32405-4454

Phone

(850) 522-1930

Fax

(850) 522-1940

NPI assigned

Jan 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Daube, MD

Title

Board Chairman

Phone

(850) 522-1930

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Surgical Center for Excellence3CCN 10C0001447

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Rena Brown, CRNA

  • Certified Registered Nurse Anesthetist
  • Panama City, FL
  • NPI 1235261595
  NPD

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1174503080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 DOCTORS DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054454",
            "telephone_number": "850-522-1930",
            "fax_number": "850-522-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 DOCTORS DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054454",
            "telephone_number": "850-522-1930",
            "fax_number": "850-522-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SURGICAL CENTER FOR EXCELLENCE, LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "DAUBE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "850-522-1930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075971600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "6K5",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Panama City, FL
• Providers in Panama City, 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 Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.