OrganizationActive
St. Augustine Ambulatory Surgery Center, LLC
NPI 1598643140 · Ambulatory Surgical Clinic/Center · St Augustine, FL
Provider details
- NPI number
- 1598643140
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Haen, Executive Director(904) 648-8660
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
45 Groover Loop
St Augustine, FL 32086-6548
Phone: (904) 648-8660
Approximate (ZIP-level) locationGet directions
Mailing address
45 Groover Loop
St. Augustine, FL 32086-6548
Registry dates
- Enumerated
- 2025-08-22
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.