Precision Surgicenter of Saint Cloud

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PRECISION SURGICENTER OF SAINT CLOUD

Practice address

1330 Budinger Ave Ste 200
Saint Cloud, FL 34769-4123

Phone

(407) 891-2010

Fax

(407) 891-8211

NPI assigned

Apr 27, 2021

Organization subpart

No

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

Authorized official

Name

Massiel Mena, MBA

Title

Clinical Director

Phone

(407) 891-2010

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.

• Ly Thi Nguyen, M.D.

  • Ophthalmology Physician
  • St Cloud, FL
  • NPI 1942237193
  NPD

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1720660806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BUDINGER AVE STE 200",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694123",
            "telephone_number": "407-891-2010",
            "fax_number": "407-891-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BUDINGER AVE STE 200",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694123",
            "telephone_number": "407-891-2010",
            "fax_number": "407-891-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION SURGICENTER OF SAINT CLOUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "MENA",
        "authorized_official_first_name": "MASSIEL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "407-891-2010",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Mavelyn Portorreal
• Positive Mindset Group
• Ann Elizabeth Powers
• Charles Powers, M.D.
• Lakin Pratt, RBT
• Premier Endocrinology PLLC
• Premier Life Health Services, LLC
• Premier Med PA
• Premise Health of Florida Medical PA
• Prestige Support Services Inc

• Ambulatory Surgical Clinic/Center in Saint Cloud, FL
• Providers in Saint Cloud, 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 Aug 6, 2021; 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.