Orange City Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ORANGE CITY SURGERY CENTER LLC

Practice address

975 Town Center Dr
Suite 100
Orange City, FL 32763-8361

Phone

(866) 631-7890

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5900

Specialties & licenses 1

Addresses

Other names 1

• Orange City Surgery Center Doing business as

Listed as

Orange City Surgery CenterCCN 10C0001518

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1487840740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 TOWN CENTER DR",
            "address_2": "SUITE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638254",
            "telephone_number": "866-631-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 TOWN CENTER DR",
            "address_2": "SUITE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638361",
            "telephone_number": "866-631-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE CITY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5900"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange City Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orange City Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Optimal Healthcare Physical Medicine Inc
• Optimal Research Sites, LLC
• Optimal Wellness Redefined, LLC
• Orange City Anesthesia Services LLC
• Orange City Community Pharmacy
• Orange City Surgical LLC
• Jusline Oreus
• Kacey Renee Orive
• Orlando Dermatology Clinic, LLC
• Orlando Physicians Network Inc

• Ambulatory Surgical Clinic/Center in Orange City, FL
• Providers in Orange 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 Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.