FIRST COAST SURGERY CENTER – NPI #1811546575
Clinic/Center

FIRST COAST SURGERY CENTER is an AHC clinic located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1811546575 to FIRST COAST SURGERY CENTER on September 05, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FIRST COAST SURGERY CENTER” is a dba name, the actual legal business name for this organization is FIRST COAST ORTHOPEDIC CENTER, 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 5 years ago on Apr 27, 2021. 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 FIRST COAST SURGERY CENTER below.

NPI Profile for
FIRST COAST ORTHOPEDIC CENTER, LLC

NPI Number
1811546575
Enumeration Date

(about 7 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
FIRST COAST ORTHOPEDIC CENTER, LLC
Doing Business As (dba): FIRST COAST SURGERY CENTER
Primary location
4035 SOUTHPOINT BOULEVARD
JACKSONVILLE, FL 32216
Phone: (904) 507-6077 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KASHONDRA SMITH
CHIEF ADMINISTRATIVE OFFICER
Phone: (904) 507-6047
Updated
Certification Date
Apr 27, 2021

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.