PANHANDLE OUTPATIENT SURGERY CENTER


Address: 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143
Phone: 5616306277

PANHANDLE OUTPATIENT SURGERY CENTER (NPI# 1346865078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346865078
Entity Type Organization
Organization Name PANHANDLE OUTPATIENT SURGERY CENTER
Practice Address 1502 Creighton Rd Ste C
Pensacola
FL 32504-7143
Mailing Address 1005 W Indiantown Rd Ste 101
Jupiter
FL 33458-6834
Practice Telephone 5616306277
Practice Fax Number 5616306062
Mailing Telephone 5616306277
Mailing Fax Number 5616306062
Enumeration Date 2020-06-09
Last Update Date 2020-06-09
Authorized Official Name LINCOLN A. ROLAND (MGR)
Authorized Official Telephone 6469960589
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 1502 CREIGHTON RD STE C
City PENSACOLA
State FL
Zip Code 32504-7143

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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1891312815 Sacred Heart Asc, LLC Clinic/Center 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 2020-06-26
1033468442 Cornerstone Surgicare LLC Clinic/Center 511 Hewitt Street, Pensacola, FL 32503 2012-08-30
1144291923 Interventional Therapeutics Institute, LLC Clinic/Center 5102 N Davis Hwy, Pensacola, FL 32503-2030 2006-01-30
1033113402 Northwest Florida Surgical Center, Inc. Clinic/Center 4600 N Davis Hwy, Pensacola, FL 32503 2005-06-13
1881131621 Fresenius Vascular Care of Pensacola Asc LLC Clinic/Center 1619 Creighton Rd, Pensacola, FL 32504-7152 2017-01-31
1891161154 Advanced Surgery Center LLC Clinic/Center 6100 N Davis Hwy, Pensacola, FL 32504-6950 2015-08-20
1760875983 Baptist Medical Park Surgery Center, LLC Clinic/Center 9400 University Pkwy, Suite 102, Pensacola, FL 32514-5752 2015-03-12
1760724314 Henghold Surgery Center LLC Clinic/Center 530 Fontaine St, Pensacola, FL 32503-2019 2013-03-21
1417077090 Baptist Medical Park Surgery Center LLC Clinic/Center 9400 University Pkwy, Suite 102, Pensacola, FL 32514-5752 2007-03-29
1942344106 Southeast Association of Healthcare Providers Inc Clinic/Center 5330 N Davis Hwy, Pensacola, FL 32503-2006 2007-02-19
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Competitor

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City PENSACOLA
Zip Code 32504

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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