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SURGICAL CENTER OF PONTE VEDRA BEACH, LLC
NPI 1497159255
Clinic/Center - Ambulatory Surgical in Ponte Vedra Beach, FL

Active since October 22, 2014
1030 A1A N, PONTE VEDRA BEACH, FL 32082(904) 285-1199 Get Directions Write a Review

NPPES record last updated: October 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Surgical Center Of Ponte Vedra Beach, Llc NPPES

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

SURGICAL CENTER OF PONTE VEDRA BEACH, LLC (NPI 1497159255) is a healthcare organization registered as an ambulatory surgical in Ponte Vedra Beach, Florida and active in the NPI registry since October 2014. The organization lists Nancy K Kastner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497159255
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGICAL CENTER OF PONTE VEDRA BEACH, LLC
Location Address1030 A1A NPonte Vedra Beach, FL 32082-4019
Mailing Address1030 A1a NPonte Vedra Beach, FL 32082-4019 · (904) 285-1199
Phone(904) 285-1199
Organization SubpartNo
Authorized OfficialNancy K KastnerAdministrator · (407) 256-0933
Enumeration DateOctober 22, 2014
✔ NPI 1497159255 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.

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
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
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 Surgical Center Of Ponte Vedra Beach, LLC's NPI number?

The NPI number for Surgical Center Of Ponte Vedra Beach, LLC is 1497159255. It was assigned to this organization in the NPPES registry on October 22, 2014.

Where is Surgical Center Of Ponte Vedra Beach, LLC located?

Surgical Center Of Ponte Vedra Beach, LLC is located at 1030 A1a N, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 285-1199.

What is Surgical Center Of Ponte Vedra Beach, 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 Surgical Center Of Ponte Vedra Beach, LLC was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.