SPECIALTY SURGERY CENTER OF FLORIDA, LLC (NPI# 1053851162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053851162 |
Entity Type | Organization |
Organization Name | SPECIALTY SURGERY CENTER OF FLORIDA, LLC |
Other Organization Name | ALLIANCE SPECIALTY SURGICAL CENTER |
Practice Address |
1545 Hand Ave Building A Ormond Beach FL 32174-1139 |
Mailing Address |
1671 N Clyde Morris Blvd Ste 100 Daytona Beach FL 32117-5590 |
Practice Telephone | 3862742977 |
Practice Fax Number | 3862742997 |
Mailing Telephone | 3862742977 |
Mailing Fax Number | 3862742362 |
Enumeration Date | 2017-03-08 |
Last Update Date | 2020-01-06 |
Authorized Official Name | VINOD MALIK (DIRECTOR) |
Authorized Official Telephone | 3862742977 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Alliance Specialty Surgical Center | Doing Business As Name - Organization |
Street Address |
1545 HAND AVE BUILDING A |
City | ORMOND BEACH |
State | FL |
Zip Code | 32174-1139 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386610186 | Carlos Javier Farach | Internal Medicine | 1545 Hand Ave, Suite B1, Ormond Beach, FL 32174 | 2006-02-23 |
1639604135 | Anthony Joseph Conte | Anesthesiology | 1545 Hand Ave, Suite B3, Ormond Beach, FL 32174-1139 | 2017-04-22 |
1164760773 | Ruth Ann Hyatt | Optometrist | 1545 Hand Ave, Suite B-3, Ormond Beach, FL 32174-1139 | 2013-01-17 |
1568762086 | Peter Lee | Ophthalmology | 1545 Hand Ave, Suite B-3, Ormond Beach, FL 32174-1139 | 2010-11-01 |
1174757371 | Millennium Optical, LLC | Technician/Technologist | 1545 Hand Ave, Suite B3, Ormond Beach, FL 32174-1140 | 2009-05-04 |
1851347868 | Javier Farach Md, Pa | Internal Medicine | 1545 Hand Ave, Suite B1, Ormond Beach, FL 32174-1139 | 2006-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
Find all providers in zip 32174 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669483137 | Physicians Ambulatory Surgery Center Inc | Clinic/Center | 300 Clyde Morris Blvd, Suite B, Ormond Beach, FL 32174-5956 | 2006-08-10 |
1982637492 | Tomoka Surgery Center, LLC | Clinic/Center | 345 Clyde Morris Blvd, Suite 300, Ormond Beach, FL 32174-3111 | 2006-07-08 |
1619979580 | Port Orange Endoscopy and Surgery Center Inc | Clinic/Center | 550 Memorial Cir, Suite H, Ormond Beach, FL 32174-5059 | 2005-08-11 |
1992707855 | Vesc Inc | Clinic/Center | 550 Memorial Cir, Suite G, Ormond Beach, FL 32174-5059 | 2005-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396351102 | University Medical Service Association Inc | Clinic/Center | 13330 Usf Laurel Dr Fl 2, Tampa, FL 33612-6601 | 2020-09-17 |
1437764321 | Baptist Health Surgery Center, LLC | Clinic/Center | 1228 S Pine Island Rd Ste 220, Plantation, FL 33324-4402 | 2020-09-09 |
1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
1780292359 | Gemini Ambulatory Surgical Center Incorporated | Clinic/Center | 7661 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2020-07-20 |
1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
1578188983 | Miami Beach Surgery Center, LLC | Clinic/Center | 400 W 41st St Ste 512, Miami Beach, FL 33140-3517 | 2020-06-11 |
1346865078 | Panhandle Outpatient Surgery Center | Clinic/Center | 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 | 2020-06-09 |
1033734793 | Naples Suncoast Surgery Center LLC | Clinic/Center | 2500 Goodlette Frank Rd Ste 200, Naples, FL 34103-4608 | 2020-06-09 |
1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
Find all providers with the same taxonomy |
City | ORMOND BEACH |
Zip Code | 32174 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.