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PONTE VEDRA BCH SURGERY CLINIC
NPI 1225050974
Clinic/Center - Ambulatory Surgical in Ponte Vedra Beach, FL

Active since July 24, 2006
1030 A1A N, PONTE VEDRA BEACH, FL 32082(904) 285-7202(904) 285-3931 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ponte Vedra Bch Surgery Clinic NPPES

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

PONTE VEDRA BCH SURGERY CLINIC (NPI 1225050974) is a healthcare organization registered as an ambulatory surgical in Ponte Vedra Beach, Florida and active in the NPI registry since July 2006. The organization lists John B Harris, Owner Medical Director, as its authorized official.

NPPES Registry Identity

NPI1225050974
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePONTE VEDRA BCH SURGERY CLINIC
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 B HarrisOwner Medical Director · (904) 285-3931
Enumeration DateJuly 24, 2006
Last NPPES UpdateOctober 20, 2011
✔ NPI 1225050974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in FL · 1215
1030 A1A N, Ponte Vedra Beach, FL 32082
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Other Identifiers 1

Medicare UPINF1436FL

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.

PONTE VEDRA BEACH SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
1030 A1A N
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 285-7202
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
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 Bch Surgery Clinic's NPI number?

The NPI number for Ponte Vedra Bch Surgery Clinic is 1225050974. It was assigned to this organization in the NPPES registry on July 24, 2006.

Where is Ponte Vedra Bch Surgery Clinic located?

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

What is Ponte Vedra Bch Surgery Clinic'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 Bch Surgery Clinic was last updated on October 20, 2011. 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.