Active NPI
Pace Surgery Center
- Ambulatory Surgical Clinic/Center
- Pace, FL
National Provider Identifier
1578662227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PACE SURGERY CENTER
- Doing business as
- Pace Surgery Center
- Practice address
- 3754 Highway 90
Suite 120
Pace, FL 32571-1096 - Phone
- (850) 994-1883
- NPI assigned
- Sep 21, 2006
- Last updated
- Mar 14, 2014
- Organization subpart
- Yes
- Parent organization
- SACRED HEART HEALTH SYSTEM, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Henry Stovall
- Title
- President/Ceo
- Phone
- (850) 416-7681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | FL | Primary |
Addresses
Primary practice location
3754 Highway 90
Suite 120
Pace, FL 32571-1096
Mailing address
3754 Highway 90
Suite 120
Pace, FL 32571-1096
Phone (850) 994-1883
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F1482 | Other | FL | MEDICARE PROVIDER NUMBER |
| 076659300 | Medicaid | FL |
Other names 1
- Pace Surgery Center
National Provider Directory
National Provider Directory- Part of
- Sacred Heart Specialty
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Sacred Heart Medical Group #03
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1588180475
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394755200000",
"number": "1578662227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3754 HIGHWAY 90",
"address_2": "SUITE 120",
"city": "PACE",
"state": "FL",
"postal_code": "325711096",
"telephone_number": "850-994-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3754 HIGHWAY 90",
"address_2": "SUITE 120",
"city": "PACE",
"state": "FL",
"postal_code": "325711096",
"telephone_number": "850-994-1883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACE SURGERY CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SACRED HEART HEALTH SYSTEM, INC",
"enumeration_date": "2006-09-21",
"last_updated": "2014-03-14",
"status": "A",
"authorized_official_last_name": "STOVALL",
"authorized_official_first_name": "HENRY",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "850-416-7681",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "F1482",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "076659300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pace Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pace, FL
- Overwatch Investments (Visiting Angels of Pace and Milton)
- Pace Chiropractic Clinic, Inc.
- Pace Obstetrics and Gynecology
- Pace Pastoral Counseling Center
- Pace Pharmacy, LLC (Pace Pharmacy)
- Pace Surgery Center
- Michelle S Page, MD
- Sibyl Tenille Page, APRN
- Pamela Ann Schurman DO PA
- Devon Ciara Parsch, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.