Coastal Surgery Center, Llc in Jacksonville - Ambulatory Surgical
Coastal Surgery Center, Llc - NPI 1902832405
Coastal Surgery Center, Llc is a Ambulatory Surgical in Jacksonville, Florida. Coastal Surgery Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Coastal Surgery Center, Llc is 1902832405. The last update date is 2020-08-22.
Coastal Surgery Center, Llc's current location address is 4147 Southpoint Dr E, Jacksonville, Florida. You can contact this provider via phone number 9043326774 and fax number 9043329137. The mailing address for Coastal Surgery Center, Llc is 4147 Southpoint Dr E, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Surgery Center, Llc |
|---|---|
| Address | 4147 Southpoint Dr E, Jacksonville, Florida |
| Phone Number | 9043326774 |
| Fax Number | 9043329137 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Harms A Sandra |
| Telephone Number | 9043326774 |
NPI Number Detail
| NPI Number | 1902832405 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4147 Southpoint Dr E |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322160996 |
| Phone Number | 9043326774 |
| Fax Number | 9043329137 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 14960580 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6N6 | FL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Coastal Surgery Center, Llc by the Centers for Medicare & Medicaid Services?
The Coastal Surgery Center, Llc has been assigned the NPI (National Provider Identifier) 1902832405 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Coastal Surgery Center, Llc's facilities are situated?
The facilities of Coastal Surgery Center, Llc are physically located at the following address: 4147 Southpoint Dr E, Jacksonville, FL, 322160996.
What is Coastal Surgery Center, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Coastal Surgery Center, Llc's specialized field of practice is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 261Qa1903X.
On what date did the Coastal Surgery Center, Llc receive its 1902832405 assignment from the Centers for Medicare & Medicaid Services?
The Coastal Surgery Center, Llc was assigned its 1902832405 by the Centers for Medicare & Medicaid Services on 2006-06-25.
As of what date was the information pertaining to Coastal Surgery Center, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Coastal Surgery Center, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY