ALLIANCE SPECIALTY SURGICAL CENTER – NPI #1053851162
Clinic/Center

ALLIANCE SPECIALTY SURGICAL CENTER is an AHC clinic located in ORMOND BEACH, FL. NPPES has assigned the NPI number 1053851162 to ALLIANCE SPECIALTY SURGICAL CENTER on March 08, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALLIANCE SPECIALTY SURGICAL CENTER” is a dba name, the actual legal business name for this organization is SPECIALTY SURGERY CENTER OF FLORIDA, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Jan 06, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALLIANCE SPECIALTY SURGICAL CENTER below.

NPI Profile for
SPECIALTY SURGERY CENTER OF FLORIDA, LLC

NPI Number
1053851162
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPECIALTY SURGERY CENTER OF FLORIDA, LLC
Doing Business As (dba): ALLIANCE SPECIALTY SURGICAL CENTER
Primary location
1545 HAND AVE
BUILDING A
ORMOND BEACH, FL 32174-1139
Phone: (386) 274-2977 Fax: (386) 274-2997
Mailing address
1671 N CLYDE MORRIS BLVD STE 100
DAYTONA BEACH, FL 32117-5590
Phone: (386) 274-2977 Fax: (386) 274-2362
Organization Subpart
No
Authorized Official
VINOD MALIK
DIRECTOR
Phone: (386) 274-2977
Updated
Certification Date
Jan 06, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.