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PONTE VEDRA BEACH SURGERY CENTER
NPI 1609269232
Clinic/Center - Ambulatory Surgical in Ponte Vedra Beach, FL

Active since March 06, 2015
1030 A1A N, PONTE VEDRA BEACH, FL 32082(907) 285-1199(907) 285-1197 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2019, May 24, 2019 (2 updates tracked since 2019).

About Ponte Vedra Beach Surgery Center NPPES

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

PONTE VEDRA BEACH SURGERY CENTER (NPI 1609269232) is a healthcare organization registered as an ambulatory surgical in Ponte Vedra Beach, Florida and active in the NPI registry since March 2015. The organization lists Krystyn Collier, Manager, as its authorized official.

NPPES Registry Identity

NPI1609269232
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 · (907) 285-1199 · Fax (907) 285-1197
Phone(907) 285-1199
Fax(907) 285-1197
Organization SubpartNo
Authorized OfficialKrystyn CollierManager · (904) 285-1199
Enumeration DateMarch 6, 2015
Last NPPES UpdateJuly 29, 20192 updates tracked since enumeration
✔ NPI 1609269232 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 Names 1

Doing Business AsPonte Vedra Beach Surgery Center

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
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

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 1609269232. It was assigned to this organization in the NPPES registry on March 6, 2015. The provider is doing business as Ponte Vedra Beach Surgery Center.

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 (907) 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 July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.