ORANGE CITY SURGICAL LLC – NPI #1558580910
Clinic/Center

ORANGE CITY SURGICAL LLC is an AHC clinic located in ORANGE CITY, FL. NPPES has assigned the NPI number 1558580910 to ORANGE CITY SURGICAL LLC on April 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 last updated on Sep 09, 2025. 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 ORANGE CITY SURGICAL LLC below.

NPI Profile for
ORANGE CITY SURGICAL LLC

NPI Number
1558580910
Enumeration Date

(more than 19 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
ORANGE CITY SURGICAL LLC
Primary location
1053 MEDICAL CENTER DRIVE
ORANGE CITY, FL 32763
Phone: (352) 000-0000 Fax:
Mailing address
1053 MEDICAL CENTER DR STE 201
ORANGE CITY, FL 32763-8261
Phone: (386) 878-8080 Fax:
Organization Subpart
No
Authorized Official
KHELSEA BAUER
CEO/SECRETARY
Phone: (240) 367-2110
Updated
Certification Date
Sep 09, 2025

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.