Amelia Island Outpatient Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AMELIA ISLAND OUTPATIENT SURGERY CENTER LLC

Practice address

2416 Lynndale Rd
Fernandina Beach, FL 32034-5201

Phone

(561) 358-1399

NPI assigned

Feb 16, 2017

Organization subpart

No

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

Authorized official

Name

Amos Dare, MDNPI 1063500015

Title

Medical Director

Phone

(561) 358-1399

Specialties & licenses 1

Addresses

Practitioners 1

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

• Amos Olabisi Dare, M.D.

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1063500015
  NPD Authorized official

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1508305038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 LYNNDALE RD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320345201",
            "telephone_number": "561-358-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 LYNNDALE RD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320345201",
            "telephone_number": "561-358-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA ISLAND OUTPATIENT SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "DARE",
        "authorized_official_first_name": "AMOS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "561-358-1399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Island Ekg Associates, PA
• Amelia Island Foot & Ankle PA
• Amelia Island Health & Wellness
• Amelia Island Optics, LLC
• Amelia Island Orthpedics
• Amelia Island Senior Wellness LLC
• Amelia Island Surgery Center LLC
• Amelia Island Surgery Center LLC
• Amelia Perfect Smiles
• Amelia Psychological Services, LLC

• Ambulatory Surgical Clinic/Center in Fernandina Beach, FL
• Providers in Fernandina 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 Mar 11, 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.