Cordova Ambulatory Surgical Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

768 Issued in FL

Legal business name

CORDOVA AMBULATORY SURGICAL CENTER INC

Practice address

545 Brent LN
Pensacola, FL 32503-2003

Phone

(850) 477-5110

Fax

(850) 477-7548

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Elaine Fernandez

Title

Administration

Phone

(850) 477-5110

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1770516338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 BRENT LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032003",
            "telephone_number": "850-477-5110",
            "fax_number": "850-477-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 BRENT LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032003",
            "telephone_number": "850-477-5110",
            "fax_number": "850-477-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDOVA AMBULATORY SURGICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "850-477-5110"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079046000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coplan Therapeutic Ministries LLC
• Coral Bay at Pensacola LLC
• Jeneile R Cordell, MD
• Donna M Corder, MD
• Princess Cordier, MSOT
• Cordova Family Practice PA
• Cordova Orthopaedic Associates PA
• Meagan Chagaris Core, APRN
• Corey Counseling LLC
• Jacob Wayde Corlew, PHARM.D.

• Ambulatory Surgical Clinic/Center in Pensacola, FL
• Providers in Pensacola, 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 Feb 27, 2012; 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.