Organization Active NPI

Medical Specialty Procedures, LC

  • Ambulatory Surgical Clinic/Center
  • Vero Beach, FL
National Provider Identifier
1770601866
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1137 Issued in FL
Legal business name
MEDICAL SPECIALTY PROCEDURES, LC
Practice address
1355 37TH St
Suite 304
Vero Beach, FL 32960-7321
Phone
(772) 794-4236
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Johnny C Benjamin, MD
Title
Medical Director
Phone
(772) 794-4236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1137 FL Primary

Addresses

Primary practice location

1355 37TH St
Suite 304
Vero Beach, FL 32960-7321

Mailing address

1355 37TH St
Suite 304
Vero Beach, FL 32960-7321
Phone (772) 794-4236

National Provider Directory

National Provider Directory

Locations

1355 37th St
Ste 304
Vero Beach, FL 32960
Phone (772) 213-3600

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1770601866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 37TH ST",
            "address_2": "SUITE 304",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607321",
            "telephone_number": "772-794-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 37TH ST",
            "address_2": "SUITE 304",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607321",
            "telephone_number": "772-794-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALTY PROCEDURES, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "772-794-4236",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.