Jacksonville Children'S Surgery Center, LLC
NPI 1770620742 · Ambulatory Surgical Clinic/Center · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacksonville Children'S Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in Jacksonville, FL (NPI 1770620742).
Provider details
- NPI number
- 1770620742
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Devin Larsen, Ceo(208) 340-1840
- License
- 390 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Frequently asked questions
- What is Jacksonville Children'S Surgery Center, LLC's NPI number?
- Jacksonville Children'S Surgery Center, LLC's National Provider Identifier (NPI) is 1770620742, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonville Children'S Surgery Center, LLC?
- Jacksonville Children'S Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jacksonville Children'S Surgery Center, LLC located?
- Jacksonville Children'S Surgery Center, LLC's practice location on file with NPPES is 3599 University Blvd S Ste 604, Jacksonville, FL 32216-4234.
- What is Jacksonville Children'S Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jacksonville Children'S Surgery Center, LLC is (904) 525-8629.
- Does Jacksonville Children'S Surgery Center, LLC accept Medicare?
- Jacksonville Children'S Surgery Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jacksonville Children'S Surgery Center, LLC?
- The authorized official listed on Jacksonville Children'S Surgery Center, LLC's NPPES record is Devin Larsen, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonville Children'S Surgery Center, LLC's NPI active?
- Yes — Jacksonville Children'S Surgery Center, LLC's NPI (1770620742) is active in the NPPES registry as of the last update on 2025-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.