Organization Active NPI

NTC Surgery Center, LTD.

  • Ambulatory Surgical Clinic/Center
  • Clermont, FL
National Provider Identifier
1649273848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1206 Issued in FL
Legal business name
NTC SURGERY CENTER, LTD.
Practice address
1800 Oakley Seaver Blvd
Clermont, FL 34711-1916
Phone
(352) 536-1703
Fax
(352) 536-9057
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jorge Luis Florin, M.D.NPI 1780659987
Title
Administrator
Phone
(352) 536-1703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1206 FL Primary

Addresses

Primary practice location

1800 Oakley Seaver Blvd
Clermont, FL 34711-1916

Mailing address

1800 Oakley Seaver Blvd
Clermont, FL 34711-1916
Phone (352) 536-1703

Other identifiers 6

IdentifierTypeStateIssuer
106690-01OtherFLCITRUS HLTHCARE-PROV.#
6G3OtherFLBCBS PROVIDER NUMBER
2020137OtherFLFIRST HEALTH -PROVIDER #
3640949OtherFLAETNA HMO-PROVIDER #
5535681OtherFLCCN NETWORK-PROVIDER #
74780586OtherFLAETNA PPO-PROVIDER #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649273848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 OAKLEY SEAVER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111916",
            "telephone_number": "352-536-1703",
            "fax_number": "352-536-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 OAKLEY SEAVER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111916",
            "telephone_number": "352-536-1703",
            "fax_number": "352-536-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NTC SURGERY CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLORIN",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-536-1703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS HLTHCARE-PROV.#",
            "identifier": "106690-01",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "6G3",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH -PROVIDER #",
            "identifier": "2020137",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO-PROVIDER #",
            "identifier": "3640949",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN NETWORK-PROVIDER #",
            "identifier": "5535681",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO-PROVIDER #",
            "identifier": "74780586",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.