OrganizationActive
Surgery Center of Ponte Vedra Beach LLC
NPI 1154741189 · Ambulatory Surgical Clinic/Center · Ponte Vedra Beach, FL
Provider details
- NPI number
- 1154741189
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Surgery Center Holdings Inc
- Organization subpart
- Yes
- Authorized official
- Michael Doyle, Ceo(813) 569-6500
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Other names (DBA / former)
- Doing business as
- Ponte Vedra Beach Surgery Center
Registry dates
- Enumerated
- 2014-04-17
- Last updated
- 2014-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.