| Organization Name: | OUTPATIENT SURGERY CENTER OF ST AUGUSTINE LLC |
| NPI Number: | 1164491874 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALBERT G. VOLK (PRESIDENT) |
| Mailing Address: | One Orthopaedic Place Suite 200 St. Augustine |
| State: | FL US |
| Postal Code: | 32086 |
| Phone Number: | 9042091400 |
| Fax Number: | 9042091401 |
| NPI Enumeration Date: | 03/15/2006 |
| NPI Last Update Date: | 10/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 1244 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |