MEDICARE: ADVANCED SURGERY CENTER OF TALLAHASSEE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1578415691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED SURGERY CENTER OF TALLAHASSEE, LLC

Provider Business Mailing Address
First Line	:	2535 CAPITAL MEDICAL BLVD STE 101
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4674
Country	:	US
Telephone Number	:	448-230-2311
Fax Number	:	448-242-0256

Provider Business Practice Location Address
First Line	:	2535 CAPITAL MEDICAL BLVD STE 101
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4674
Country	:	US
Telephone Number	:	448-230-2311
Fax Number	:	448-242-0256

Authorized Official
Title or Position	:	CLINICAL DIRECTOR/ADMINISTRATOR
Name	:	JOY WILLIAMS
Credential	:	DNP,MSN,RN
Telephone Number	:	448-231-2311

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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