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PONTE VEDRA BEACH SURGERY CENTER LLC
NPI 1093077257
Clinic/Center - Ambulatory Surgical in Ponte Vedra Beach, FL

Active since June 13, 2012
1030 A1A N, PONTE VEDRA BEACH, FL 32082(904) 285-7202(904) 285-3931 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ponte Vedra Beach Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PONTE VEDRA BEACH SURGERY CENTER LLC (NPI 1093077257) is a healthcare organization registered as an ambulatory surgical in Ponte Vedra Beach, Florida and active in the NPI registry since June 2012. The organization lists John Borgeson Harris, President, as its authorized official.

NPPES Registry Identity

NPI1093077257
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePONTE VEDRA BEACH SURGERY CENTER LLC
Location Address1030 A1A NPonte Vedra Beach, FL 32082-4019
Mailing Address1030 A1a NPonte Vedra Beach, FL 32082-4019 · (904) 285-7202 · Fax (904) 285-3931
Phone(904) 285-7202
Fax(904) 285-3931
Organization SubpartNo
Authorized OfficialJohn Borgeson HarrisPresident · (904) 285-7202
Enumeration DateJune 13, 2012
✔ NPI 1093077257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1030 A1A N, Ponte Vedra Beach, FL 32082
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SURGERY CENTER OF PONTE VEDRA BEACH LLC
Clinic/Center (Ambulatory Surgical)
1030 A1A N
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 285-7202
PONTE VEDRA BCH SURGERY CLINIC
Clinic/Center (Ambulatory Surgical)
1030 A1A N
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 285-7202
DR. JEREMY SHAWN MIRABILE M.D. ABPM-ADM, FASAM
Family Medicine (Addiction Medicine)
1030 A1A N
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 551-1394
SURGICAL CENTER OF PONTE VEDRA BEACH, LLC
Clinic/Center (Ambulatory Surgical)
1030 A1A N
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 285-1199
RECOVERY KEYS, INC
Substance Abuse Rehabilitation Facility
1030 A1A N
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 551-1394
SURGICAL CENTER OF PONTE VEDRA BEACH LLC
Clinic/Center (Ambulatory Surgical)
1030 A1A N
PONTE VEDRA BEACH, FL 32082
St. Johns County (907) 285-1199

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ponte Vedra Beach Surgery Center LLC's NPI number?

The NPI number for Ponte Vedra Beach Surgery Center LLC is 1093077257. It was assigned to this organization in the NPPES registry on June 13, 2012.

Where is Ponte Vedra Beach Surgery Center LLC located?

Ponte Vedra Beach Surgery Center LLC is located at 1030 A1a N, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 285-7202.

What is Ponte Vedra Beach Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Ponte Vedra Beach Surgery Center LLC was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.