Amelia Island Surgery Center Llc

LBN: Amelia Island Surgery Center Llc
Amelia Island Surgery Center Llc is an health care organization with primary practice located at 2416 Lynndale Rd , Fernandina Beach FL 32034-5201. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Amelia Island Surgery Center Llc can be contacted via phone (904) 261-5741, or through Stackhouse, J. Russell via phone (904) 261-5741.

Contact Information

Primary practice address
2416 Lynndale Rd Fernandina Beach FL 32034-5201
Phone: (904) 261-5741
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stackhouse, J. Russell Doctor of Medicine (MD)
Phone: (904) 261-5741

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1972194199
LBN Legal business name Amelia Island Surgery Center Llc
DBA Doing business as
Authorized official Stackhouse, J. Russell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2021
Last updated Sep 29th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972194199 NPPES
Florida Other 2416 NONE

Popular Providers