Trauma & Specialty Surgery Institute, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME 65570 Issued in FL

Legal business name

TRAUMA & SPECIALTY SURGERY INSTITUTE, LLC

Practice address

311 N Clyde Morris Blvd Ste 440
Daytona Beach, FL 32114-2757

Phone

(386) 252-0688

Fax

(386) 675-6401

NPI assigned

Mar 15, 2007

Last updated

May 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lori JazarevicNPI 1083498828

Title

Office Manager

Phone

(772) 233-6166

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Lori Jazarevic, OTR/L

  • Occupational Therapist
  • Waynesville, NC
  • NPI 1083498828
  NPD Authorized official
• Trent Smith Brister, P.A.-C

  • Surgical Physician Assistant
  • Vero Beach, FL
  • NPI 1316912843
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1275667057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 FERN TRL",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287869706",
            "telephone_number": "772-233-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N CLYDE MORRIS BLVD STE 440",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142757",
            "telephone_number": "386-252-0688",
            "fax_number": "386-675-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA & SPECIALTY SURGERY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "JAZAREVIC",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-233-6166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME 65570",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME65570",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME65570",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME65570",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME 65570",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherish Traff, P.T.A
• Dale Robert Traficante, MD
• Martin Quang Tran, DO
• The Phuong Tran, MD
• Eileen Sarah Trani, MSW
• Cindy Trawick, ARNP
• Ivo Traykov
• Tree of Life Family Chiropractic and Wellness Center, LLC
• Nancy J Tremblay, RN
• Jeanine Tripp, ARNP

• Surgery Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.