PALM COAST SURGERY CENTER LLC – NPI #1831369610
Clinic/Center

PALM COAST SURGERY CENTER LLC is an AHC clinic located in PALM COAST, FL. NPPES has assigned the NPI number 1831369610 to PALM COAST SURGERY CENTER LLC on March 07, 2008. 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 previously updated about 18 years ago on Jun 09, 2008. 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 PALM COAST SURGERY CENTER LLC below.

NPI Profile for
PALM COAST SURGERY CENTER LLC

NPI Number
1831369610
Enumeration Date

(more than 18 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
PALM COAST SURGERY CENTER LLC
Primary location
21 HOSPITAL DRIVE
SUITE 220
PALM COAST, FL 32164-2380
Phone: (386) 447-4408 Fax:
Mailing address
28 OLD KINGS RD N
PALM COAST, FL 32137-8226
Phone: Fax:
Organization Subpart
No
Authorized Official
JOHN RUSSELL
PRESIDENT
Phone: (386) 447-4440
Updated
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)		 FL PENDING

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.