Amelia Island Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AMELIA ISLAND SURGERY CENTER LLC

Practice address

2461 Lynndale Rd
Fernandina Beach, FL 32034

Phone

(913) 226-3401

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Ron Gully

Title

Group Vice President

Phone

(913) 387-0572

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1598952152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 LYNNDALE RD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "32034",
            "telephone_number": "913-226-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 LYNNDALE RD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "32034",
            "telephone_number": "913-226-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA ISLAND SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "GULLY",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "913-387-0572"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Island Health & Wellness
• Amelia Island Optics, LLC (Eye Envy Optical)
• Amelia Island Orthpedics
• Amelia Island Outpatient Surgery Center LLC
• Amelia Island Senior Wellness LLC
• Amelia Island Surgery Center LLC
• Amelia Perfect Smiles
• Amelia Psychological Services, LLC
• Amelia Respiratory and Sleep Medicine LLC
• Amelia Therapy Services, Inc

• 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 May 15, 2008; 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.