ORANGE BLOSSOM SURGICAL ASSOCIATES
NPI 1437630530
Physician Assistant - Surgical in Trinity, FL

NPI Status: Active since August 27, 2018

Contact Information

2043 LITTLE RD
TRINITY, FL
ZIP 34655
Phone: (727) 999-3322
Fax: (727) 440-8211

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  • Organization
  • Physician Assistant
  • Surgical
  • CLIA Number: 10D2325825
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-19-2027

About ORANGE BLOSSOM SURGICAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Orange Blossom Surgical Associates, a provider established in Trinity, Florida operating as a Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1437630530 assigned on August 2018. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Reut Bardach Md (Owner)

NPI
1437630530
Provider Name
ORANGE BLOSSOM SURGICAL ASSOCIATES
Entity Type
Organization
Location Address
2043 LITTLE RD TRINITY, FL 34655
Location Phone
(727) 999-3322
Location Fax
(727) 440-8211
Mailing Address
2043 LITTLE RD TRINITY, FL 34655
Mailing Phone
(727) 999-3322
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2018
Last Update Date
08-27-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

REUT BARDACH MD

Authorized Official Title
OWNER
Authorized Official Phone
(727) 846-7000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2325825
Facility Type
Physician Office
Certificate Effective Date
June 20, 2025
Certificate Expiration Date
June 19, 2027
Laboratory Director
REUT BARDACH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Orange Blossom Surgical Associates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1437630530, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
3
Doubled → 6
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 6 → 12 → 3 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 6 + 7 + 1 + 2 + 3 + 0 + 5 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1437630530.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Physician Assistant (Surgical)
2043 LITTLE RD
TRINITY, FL 34655
Advanced Practice Midwife
2043 LITTLE RD
TRINITY, FL 34655
Physician Assistant
2043 LITTLE RD
TRINITY, FL 34655
Obstetrics & Gynecology
2043 LITTLE RD
TRINITY, FL 34655
Nurse Practitioner (Family)
2043 LITTLE RD
TRINITY, FL 34655
Obstetrics & Gynecology
2043 LITTLE RD
TRINITY, FL 34655
Nurse Practitioner (Women's Health)
2043 LITTLE RD
TRINITY, FL 34655
Nurse Practitioner (Obstetrics & Gynecology)
2043 LITTLE RD
TRINITY, FL 34655
Nurse Practitioner (Women's Health)
2043 LITTLE RD
TRINITY, FL 34655
Advanced Practice Midwife
2043 LITTLE RD
TRINITY, FL 34655
Nurse Practitioner (Family)
2043 LITTLE RD
TRINITY, FL 34655
Advanced Practice Midwife
2043 LITTLE RD
TRINITY, FL 34655
Midwife
2043 LITTLE RD
TRINITY, FL 34655
Nurse Practitioner (Obstetrics & Gynecology)
2043 LITTLE RD
TRINITY, FL 34655
Physician Assistant (Medical)
2043 LITTLE RD
TRINITY, FL 34655
Obstetrics & Gynecology
2043 LITTLE RD
TRINITY, FL 34655
Nurse Practitioner (Women's Health)
2043 LITTLE RD
TRINITY, FL 34655

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437630530, enumerated as an "organization" on August 27, 2018.

The provider is located at 2043 LITTLE RD TRINITY, FL 34655 and the phone number is (727) 999-3322.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.