LASER AND OUTPATIENT SURGERY CENTER LLC


Address: 6925 Nw 11th Pl, Gainesville, FL 32605-3101
Phone: 3523311590

LASER AND OUTPATIENT SURGERY CENTER LLC (NPI# 1831116698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831116698
Entity Type Organization
Organization Name LASER AND OUTPATIENT SURGERY CENTER LLC
Practice Address 6925 Nw 11th Pl
Gainesville
FL 32605-3101
Practice Telephone 3523311590
Practice Fax Number 3523310995
Mailing Telephone 3523311590
Enumeration Date 2006-07-17
Last Update Date 2020-10-12
Authorized Official Name JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
Authorized Official Telephone 6152345900
Is Organization Subpart Y
Parent Organization Name NOVAMED, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
1253 FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
RR MEDICARE P00346824 01
FL 076650000 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1457965832 Laser and Outpatient Surgery Center LLC Anesthesiology 6925 Nw 11th Pl, Gainesville, FL 32605-3101 2020-09-03

Office Location

Street Address 6925 NW 11TH PL
City GAINESVILLE
State FL
Zip Code 32605-3101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457965832 Laser and Outpatient Surgery Center LLC Anesthesiology 6925 Nw 11th Pl, Gainesville, FL 32605-3101 2020-09-03
1710073630 Barbara C. Larson Technician/Technologist 6925 Nw 11th Pl, Gainesville, FL 32605-3101 2006-10-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780205435 Remy Fadel Student in an Organized Health Care Education/Training Program 1147 Nw 64th Terr, Gainsville, FL 32605 2020-05-05
1518528652 Family Restoration Station Counseling Center, LLC Marriage & Family Therapist 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 2019-06-27
1568925105 Ryeisha Hough Behavior Technician 1051 Sw 56 Terrace, Gainesville, FL 32605 2019-04-10
1003308040 Titan Mri LLC Clinic/Center 919 Nw 57th St Ste 20, Gainesville, FL 32605 2018-06-05
1922598432 Angela Maria Fernandez Manovel Student in an Organized Health Care Education/Training Program 1147 Nw 64th Terrace, Gainesville, FL 32605 2018-05-10
1396235800 Aya Marachi Student in an Organized Health Care Education/Training Program 6500 W. Newberry Rd., Gainesville, FL 32605 2018-05-10
1053813543 Jaime L Jasser Counselor 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 2018-03-01
1164932901 Anesthesia Physician Solutions of North Florida, LLC Anesthesiology 6500 W Newberry Road, Gainesville, FL 32605 2017-10-06
1336667930 Zina Theresse Durr Adult Companion 3124 Nw 29th Place, Gainesville, FL 32605 2017-09-03
1982126306 Crystal Thompson Baumann Nurse Practitioner 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 2017-07-07
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1093842270 North Georgia Eye Surgery Center Clinic/Center 1485 Jesse Jewell Parkway, Suite 100, Gainesville, GA 30501 2007-02-27
1457425159 Lakeshore Tubal Reversal Center Clinic/Center 2320 Limestone Parkway, Gainesville, GA 30501 2006-11-17
1023039385 Northeast Georgia Plastic Surgery Associates, Plastic Surgery Center Clinic/Center 1296 Sims St, Suite B, Gainesville, GA 30501-3850 2006-07-22
1215993100 Gainesville Surg Ctr Lp Clinic/Center 1945 Beverly Rd, Gainesville, GA 30501-2034 2006-04-21
1790752061 North Florida Regional Freestanding Surgery Center Lp Clinic/Center 6705 Nw 10th Pl, Gainesville, FL 32605-4212 2006-03-04
1083689749 Gainesville Fl Orthopaedic Asc LLC Clinic/Center 4600 W Newberry Rd, Gainesville, FL 32607-2247 2006-02-17
1982186425 Center for Spine & Pain Medicine PC Clinic/Center 715 Queen City Pkwy Ste 106, Gainesville, GA 30501-4335 2018-08-31
1326494147 Center for Spine & Pain Medicine PC Clinic/Center 1016 Thompson Bridge Rd, Gainesville, GA 30501-1704 2016-05-11
1891184826 Surgical Center of North Florida, LLC Clinic/Center 6520 Nw 9th Blvd, Gainesville, FL 32605-4205 2015-01-14
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Competitor

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City GAINESVILLE
Zip Code 32605

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Dataset Information

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.

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