TRAUMA & SPECIALTY SURGERY INSTITUTE, LLC
NPI 1275667057
Surgery in Daytona Beach, FL

Active since March 15, 2007
311 N CLYDE MORRIS BLVD STE 440, DAYTONA BEACH, FL 32114(386) 252-0688(386) 675-6401 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 21, 2021, Apr 27, 2017 (2 updates tracked since 2017).

About Trauma & Specialty Surgery Institute, Llc NPPES

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

TRAUMA & SPECIALTY SURGERY INSTITUTE, LLC (NPI 1275667057) is a healthcare organization registered as a surgery in Daytona Beach, Florida and active in the NPI registry since March 2007. The organization lists Lori Jazarevic, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1275667057
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameTRAUMA & SPECIALTY SURGERY INSTITUTE, LLC
Location Address311 N CLYDE MORRIS BLVD STE 440Daytona Beach, FL 32114-2757
Mailing Address1076 Fern TrlWaynesville, NC 28786-9706 · (772) 233-6166
Fax(386) 675-6401
Organization SubpartNo
Authorized OfficialLori JazarevicOffice Manager · (772) 233-6166
Enumeration DateMarch 15, 2007
Last NPPES UpdateMay 21, 20212 updates tracked since enumeration
NPPES CertifiedMay 21, 2021
NPI 1275667057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in FL · ME 65570
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License ME65570 (FL)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License ME65570 (FL)
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License ME65570 (FL)
311 N CLYDE MORRIS BLVD STE 440, Daytona Beach, FL 32114

Other Identifiers 1

OtherME 65570FL · Medical License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Neurological Surgery
311 N CLYDE MORRIS BLVD STE 440
DAYTONA BEACH, FL 32114

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 Trauma & Specialty Surgery Institute, LLC's NPI number?

The NPI number for Trauma & Specialty Surgery Institute, LLC is 1275667057. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Trauma & Specialty Surgery Institute, LLC located?

Trauma & Specialty Surgery Institute, LLC is located at 311 N Clyde Morris Blvd Ste 440, Daytona Beach, FL 32114. The listed phone number is (386) 252-0688.

What is Trauma & Specialty Surgery Institute, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Trauma & Specialty Surgery Institute, LLC was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.