PACE SURGERY CENTER (NPI# 1578662227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578662227 |
| Entity Type | Organization |
| Organization Name | PACE SURGERY CENTER |
| Other Organization Name | PACE SURGERY CENTER |
| Practice Address |
3754 Highway 90 Suite 120 Pace FL 32571-1096 |
| Practice Telephone | 8509941883 |
| Mailing Telephone | 8509941883 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2014-03-14 |
| Authorized Official Name | MS. HENRY STOVALL (PRESIDENT/CEO) |
| Authorized Official Telephone | 8504167681 |
| Is Organization Subpart | Y |
| Parent Organization Name | SACRED HEART HEALTH SYSTEM, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 076659300 | 05 | |
| FL | MEDICARE PROVIDER NUMBER | F1482 | 01 |
| Other Name | Type Code |
|---|---|
| Pace Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649534710 | Pace Surgery Center | Anesthesiology | 3754 Highway 90, Suite 120, Pace, FL 32571-1096 | 2012-07-03 |
| Street Address |
3754 HIGHWAY 90 SUITE 120 |
| City | PACE |
| State | FL |
| Zip Code | 32571-1096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407843410 | Lisa Currier | Pediatrics | 3754 Highway 90, Pace, FL 32571-1096 | 2005-10-04 |
| 1649534710 | Pace Surgery Center | Anesthesiology | 3754 Highway 90, Suite 120, Pace, FL 32571-1096 | 2012-07-03 |
| 1497018345 | Benjamin David Osterrieder | Obstetrics & Gynecology | 3754 Highway 90, Ste 220, Pace, FL 32571-1096 | 2012-06-15 |
| 1710127006 | Vishal Gujral | Internal Medicine | 3754 Highway 90, Suite 200, Pace, FL 32571-1096 | 2009-02-25 |
| 1982850251 | Darlene Marie Hess | Physical Therapy Assistant | 3754 Highway 90, Suite 210, Pace, FL 32571-1096 | 2008-08-18 |
| 1528224961 | Mary Frances Randell | Occupational Therapist | 3754 Highway 90, Suite 210, Pace, FL 32571-1096 | 2008-08-05 |
| 1225226889 | Jamie Mashburn Thorn | Nurse Practitioner | 3754 Highway 90, Ste 220, Pace, FL 32571-1096 | 2007-10-09 |
| 1386650406 | Robert Gerald Kincaid IIi | Family Medicine | 3754 Highway 90, Suite 200, Pace, FL 32571-1096 | 2006-07-31 |
| 1174537690 | Troy Bell | Optometrist | 3754 Highway 90, Suite 390, Pace, FL 32571-1096 | 2006-07-28 |
| 1104871979 | Matthew G. Kinzelman | Family Medicine | 3754 Highway 90, 200, Pace, FL 32571-1020 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1902364094 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 3754 Us Hightway 90, Suite 390a, Pace, FL 32571 | 2019-03-07 |
| 1598245391 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5012 Highway 90, Pace, FL 32571 | 2018-08-21 |
| 1922529957 | Overwatch Investments | Home Health | 4503 Woodbine Road, Pace, FL 32571 | 2017-06-29 |
| 1215382619 | Andrea Tuttle | Pediatrics | 5755 Quintette Road, Pace, FL 32571 | 2016-05-04 |
| 1134503477 | Joshua Leblanc | Dentist | 4873 Us-90, Pace, FL 32571 | 2015-07-16 |
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1710320064 | Victorian Manor Retirement Center,inc. | Assisted Living Facility | 4685 Chumuckla Highway, Pace, FL 32571 | 2013-04-16 |
| 1639460819 | Wayne Kramer | Massage Therapist | 5717 Hwy 90, Pace, FL 32571 | 2011-04-22 |
| 1386942365 | Jennifer Lyn Newstrom | Behavioral Analyst | 4000 Us-90, B, Pace, FL 32571 | 2011-03-01 |
| Find all providers in zip 32571 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| 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 | ||||
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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.