Healthcare Provider Details

I. General information

NPI: 1891184826
Provider Name (Legal Business Name): SURGICAL CENTER OF NORTH FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2015
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6520 NW 9TH BLVD
GAINESVILLE FL
32605-4205
US

IV. Provider business mailing address

6520 NW 9TH BLVD
GAINESVILLE FL
32605-4205
US

V. Phone/Fax

Practice location:
  • Phone: 352-224-7800
  • Fax: 352-331-2787
Mailing address:
  • Phone: 352-224-7800
  • Fax: 352-331-2787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number922
License Number StateFL

VIII. Authorized Official

Name: MS. ELISSE SEALS
Title or Position: VP REVENUE MANAGEMENT
Credential:
Phone: 405-285-7500