VOLUSIA CENTER FOR SURGICAL EXCELLENCE (NPI# 1538648613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538648613 |
Entity Type | Organization |
Organization Name | VOLUSIA CENTER FOR SURGICAL EXCELLENCE |
Practice Address |
2568 S Ridgewood Ave Ste 4 Edgewater FL 32141 |
Mailing Address |
2568 S Ridgewood Ave Ste 4 Edgewater FL 32141-7535 |
Practice Telephone | 3864241422 |
Enumeration Date | 2018-08-09 |
Last Update Date | 2018-08-15 |
Authorized Official Name | OREST KRAJNYK (OWNER) |
Authorized Official Telephone | 3864241422 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
Ambulatory Health Care Facilities | ||
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Street Address |
2568 S RIDGEWOOD AVE STE 4 |
City | EDGEWATER |
State | FL |
Zip Code | 32141 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093294662 | Evan Michael Criscio | Optometrist | 2568 S Ridgewood Ave Ste 4, Edgewater, FL 32141 | 2018-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174000277 | Kathryn Nicole Turner | Speech-Language Pathologist | 2425 Needle Palm Dr, Edgewater, FL 32141 | 2018-07-23 |
1710472451 | Caring Rx, LLC | Pharmacy | 21002 S Ridgewood Ave, Suite 2, Edgewater, FL 32141 | 2018-06-26 |
1356554240 | Rebecca Lynn Cicchetti | Physical Therapist | 2568 S Ridgewood, Suite 1, Edgewater, FL 32141 | 2007-05-07 |
1972675825 | James J Byrne | General Practice | 185 North Route 1, Oak Hill, FL 32141 | 2006-11-15 |
1871514240 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1838 S Ridgewood Ave, Edgewater, FL 32141-3643 | 2006-07-21 |
1134519309 | Michelle Salkey | Pharmacist | 1838 S Ridgewood Ave, Edgewater, FL 32141-3643 | 2015-01-27 |
1912266560 | Joshua Budvarson | Contractor | 2129 Pine Tree Dr, Edgewater, FL 32141-3807 | 2012-05-15 |
1063052520 | Meghan Budvarson | Social Worker | 2129 Pine Tree Dr, Edgewater, FL 32141-3807 | 2020-01-13 |
1225362833 | Florida Hh Services | Home Health | 1845 Queen Palm Dr, Edgewater, FL 32141-3809 | 2009-09-29 |
1528417433 | All Behavior Matters LLC | Behavioral Analyst | 1845 Royal Palm Dr, Edgewater, FL 32141-3817 | 2016-06-10 |
Find all providers in zip 32141 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922148733 | South River Ambulatory Surgery | Clinic/Center | 3168 Braverton St, Suite 310, Edgewater, MD 21037-2674 | 2007-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
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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 |
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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.