COASTAL TIDES SURGICAL CENTER, LLC
NPI 1609616291
Clinic/Center - Ambulatory Surgical in Panama City Beach, FL
About Coastal Tides Surgical Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL TIDES SURGICAL CENTER, LLC (NPI 1609616291) is a healthcare organization registered as an ambulatory surgical in Panama City Beach, Florida and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Daniel David Stannard, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2315320
Coastal Tides Surgical Center LLC · Panama City Beach, FLFrequently 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 Coastal Tides Surgical Center, LLC's NPI number?
The NPI number for Coastal Tides Surgical Center, LLC is 1609616291. It was assigned to this organization in the NPPES registry on May 30, 2024.
Where is Coastal Tides Surgical Center, LLC located?
Coastal Tides Surgical Center, LLC is located at 1002 N Arnold Road Suite 401, Panama City Beach, FL 32413. The listed phone number is (850) 509-7567.
What is Coastal Tides Surgical Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Coastal Tides Surgical Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2315320) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Coastal Tides Surgical Center, LLC was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Coastal Tides Surgical Center, Llc · NPI 1609616291
Ambulatory Surgical organization in Panama City Beach, Florida. Organization record, active in the CMS NPPES registry since May 30, 2024.
## Identity
- **NPI:** 1609616291 (Entity type: Organization)
- **Enumerated:** May 30, 2024
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Daniel Stannard, ADMINISTRATOR
## Practice location
- **Address:** 1002 N ARNOLD ROAD, SUITE 401, Panama City Beach, FL 32413
- **Phone:** (850) 509-7567
## Record status
- **NPPES last updated:** May 30, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609616291) · Data from the CMS NPPES public registry.