Organization Active NPI

Pace Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Pace, FL
National Provider Identifier
1578662227
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SACRED HEART HEALTH SYSTEM, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
F1482OtherFLMEDICARE PROVIDER NUMBER
076659300MedicaidFL

Other names 1

  • Pace Surgery Center Doing business as

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.

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

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.

Verify at the official NPI Registry.