ST NICHOLAS AMBULATORY SURGICAL CENTER PA
NPI 1194154161
Clinic/Center - Ambulatory Surgical in Jacksonville, FL

Q: What is St Nicholas Ambulatory Surgical Center PA's specialty?

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

Active since November 11, 2013

2570 ATLANTIC BLVD, JACKSONVILLE, FL 32207(904) 647-8576(904) 253-3098 Get Directions Write a Review

NPPES record last updated: November 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About St Nicholas Ambulatory Surgical Center Pa NPPES

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

ST NICHOLAS AMBULATORY SURGICAL CENTER PA (NPI 1194154161) is a healthcare organization registered as an ambulatory surgical in Jacksonville, Florida and active in the NPI registry since November 2013. The organization lists Rene U Pulido, President, as its authorized official.

NPPES Registry Identity

NPI1194154161

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameST NICHOLAS AMBULATORY SURGICAL CENTER PA

Location Address2570 ATLANTIC BLVDJacksonville, FL 32207-3604

Mailing Address2624 Atlantic BlvdJacksonville, FL 32207-3668 · (904) 647-8576 · Fax (904) 253-3098

Phone(904) 647-8576

Fax(904) 253-3098

Organization SubpartNo

Authorized OfficialRene U PulidoPresident · (904) 647-8576

Enumeration DateNovember 11, 2013

✔ NPI 1194154161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

2570 ATLANTIC BLVD, Jacksonville, FL 32207

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Other Providers at the Same Location NPPES 5

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

DR. RENE URIEL PULIDO MD

Family Medicine