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NPI Code Detail

MEDICARE: NATIONAL SURGICAL CENTERS OF AMERICA LLC

MEDICARE: NATIONAL SURGICAL CENTERS OF AMERICA 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
1261QA1903XAmbulatory Surgical Clinic/Center1330FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770724122
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATIONAL SURGICAL CENTERS OF AMERICA LLC
Provider Business Mailing Address
First Line : 4960 SW 72ND AVE STE 405
Second Line :
City : MIAMI
State : FL
Zip : 33155-5506
Country : US
Telephone Number : 469-458-9222
Fax Number : 540-918-7202
Provider Business Practice Location Address
First Line : 1693 LEE RD
Second Line : SUITE A
City : WINTER PARK
State : FL
Zip : 32789-2260
Country : US
Telephone Number : 407-287-4300
Fax Number : 407-982-8048
Authorized Official
Title or Position : RCM MANAGER
Name : SHANEKA TINCH
Credential :
Telephone Number : 469-458-9222
Provider Enumeration Date : 03/16/2009
Last Update Date : 12/08/2025

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Directions to “NATIONAL SURGICAL CENTERS OF AMERICA LLC ” Practice Location

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