OrganizationActive
Ponte Vedra Beach Surgery Center LLC
NPI 1093077257 · Ambulatory Surgical Clinic/Center · Ponte Vedra Beach, FL
Provider details
- NPI number
- 1093077257
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Harris, President(904) 285-7202
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1030 A1a N
Ponte Vedra Beach, FL 32082-4019
Phone: (904) 285-7202
Fax: (904) 285-3931
Approximate (ZIP-level) locationGet directions
Mailing address
1030 A1a N
Ponte Vedra Beach, FL 32082-4019
Registry dates
- Enumerated
- 2012-06-13
- Last updated
- 2012-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.