Trauma & Specialty Surgery Institute, Llc
LBN: Trauma & Specialty Surgery Institute, Llc
Trauma & Specialty Surgery Institute, Llc is an health care organization with primary practice located at 311 N Clyde Morris Blvd Ste 440 , Daytona Beach FL 32114-2757. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Trauma & Specialty Surgery Institute, Llc can be contacted via phone (386) 252-0688, or through Jazarevic, Lori via phone (772) 233-6166.
Contact Information
Primary practice address
311 N Clyde Morris Blvd Ste 440
Daytona Beach FL 32114-2757
Phone: (386) 252-0688
Fax: (386) 675-6401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME 65570 | Florida |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | ME65570 | Florida |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | ME65570 | Florida |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME65570 | Florida |
Profile Details
| NPI number | 1275667057 |
|---|---|
| LBN Legal business name | Trauma & Specialty Surgery Institute, Llc |
| DBA Doing business as | |
| Authorized official | Jazarevic, Lori |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | May 21st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275667057 | NPPES |
| Florida | Other | ME 65570 | MEDICAL LICENSE |
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